Tawuniya insurance hospitals

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City AFIF Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Saher Medical Center Polyclinic ‫ ﻋﻔﻴﻒ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﺎﻫﺮ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Bargas El Ahly Clinic - Afif ‫ ﻋﻔﻴﻒ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺒﺮﺟﺲ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Shefa Medical Center - Afif ‫ ﻋﻔﻴﻒ‬- ‫ﻣﺠﻤﻊ ﺍﻟﺸﻔﺎﺀ ﺍﻟﻄﺒﻲ‬ City AFLAJ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Kamal Medical Clinic - Al Aflaj ‫ ﺍﻻﻓﻼﺝ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻜﻤﺎﻝ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Farhan Al Nadir Clinic (Al Aflag) ‫ ﺍﻻﻓﻼﺝ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻓﺮﺣﺎﻥ ﻣﺤﻤﺪ ﺁﻝ ﻧﺎﺩﺭ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Laila Medical Clinic - Al Aflaj ‫ ﺍﻻﻓﻼﺝ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻟﻴﻠﻰ‬ City AHAD RUFAIDAH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Emeis Polyclinic (Ahad Rufaidah) ‫) ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﻤﻴﺲ ) ﺃﺣﺪ ﺭﻓﻴﺪﺓ‬ City AL BAHA Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Gnp Polyclinic - Al Baha ‫ ﺍﻟﺒﺎﺣﺔ ﻣﺴﺘﻮﺻﻒ‬- ‫ ﻏﺴﺎﻥ ﻧﺠﻴﺐ ﻓﺮﻋﻮﻥ‬.‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Salamah Polyclinic - Al Baha ‫ ﺍﻟﺒﺎﺣﺔ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻼﻣﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Makhwah N. Clinic - Al Makhwa ‫ ﺍﻟﻤﺨﻮﺍﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺨﻮﺍﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mogeb Clinic ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻌﺠﺐ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ashfa Medical Center - Al Baha ‫ ﺍﻟﺒﺎﺣﺔ‬- ‫ﻣﺮﻛﺰ ﺍﺷﻔﻰ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Nees Dental Center - Al Baha ‫ ﺍﻟﺒﺎﺣﺔ‬- ‫ﻣﺮﻛﺰ ﻧﻴﺲ ﺍﻟﻨﻤﻮﺫﺟﻲ ﻟﻸﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ King Fahad Hospital - Baha ‫ﺍﻟﺒﺎﺣﻪ‬-‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﻠﻚ ﻓﻬﺪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sama Adial Clinic ‫ﻣﺴﺘﻮﺻﻒ ﺳﻤﺎ ﺍﻟﻨﻮﺫﺟﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Bin Dammas Medical Center ‫ﺷﺮﻛﺔ ﺗﻤﻴﻢ ﺑﻦ ﻋﻠﻲ ﺳﻌﻴﺪ ﺍﻟﻐﺎﻣﺪﻱ )ﻣﺠﻤﻊ ﺑﻦ ﺩﻣﺎﺱ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Shamikh Clinic - Al Baha ‫ ﺍﻟﺒﺎﺣﺔ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺷﺎﻣﺦ‬

Page 1 of 64

class Tel 17221161 Tel 17222488 Tel 17221555 class Tel 16821111 Tel 16822842 Tel 16821507 class Tel 2506633 class Tel 77271126 Tel 77255052 Tel 77280544 Tel 77257000 Tel 77513525 Tel 77242333 Tel 77253540 Tel 7515222 Tel 7248111 Tel 77270801

VIP Y Y Y VIP Y Y Y VIP Y VIP Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City AL DWADMI class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Husainy Hospital - Al Dwadmi ‫ ﺍﻟﺪﻭﺍﺩﻣﻲ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﺴﻴﻨﻲ‬16423798 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Abu - Zeed Md. Clinic ‫ ﻣﺴﺘﻮﺻﻒ ﺃﺑﻮ ﺯﻳﺪ ﺍﻟﻄﺒﻲ‬16423338 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Abu - Zeed Md. Clinic ‫ ﻣﺴﺘﻮﺻﻒ ﺃﺑﻮ ﺯﻳﺪ ﺍﻟﻄﺒﻲ‬6423338 City AL JOUF class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Shifa Clinic - Sakaka ‫ ﺳﻜﺎﻛﺎ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﻔﺎﺀ‬46264341 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Prince Abdul Rahman Al Sudairy Ho ‫ ﺳﻜﺎﻛﺎ ﺍﻟﺠﻮﻑ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺴﺪﻳﺮﻱ‬146263342 City AL KHARJ class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dar Al-Salam Medical Clinic - Al Kha ‫ ﺍﻟﺨﺮﺝ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺩﺍﺭ ﺍﻟﺴﻼﻡ‬15443377 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Najmat Al Hakem Medical Clinic - A ‫ ﺍﻟﺨﺮﺝ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻧﺠﻤﺔ ﺍﻟﺤﻜﻴﻢ ﺍﻟﻄﺒﻲ‬15488881 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ganas Medical Group - Al Kharj ‫ ﺍﻟﺨﺮﺝ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻘﻨﺎﺹ‬15444003 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Advanced Consultancy Polyclinic - Al ‫ ﺍﻟﺨﺮﺝ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﻤﺘﻘﺪﻣﺔ ﺍﻹﺳﺘﺸﺎﺭﻳﺔ‬15451111 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ebraheem Al Sukhaiber Medical Clin ‫ ﻣﺴﺘﻮﺻﻒ ﺍﺑﺮﺍﻫﻴﻢ ﻋﺒﺪﺍﻟﺮﺣﻤﻦ ﺍﻟﺼﺨﻴﺒﺮ ﺍﻟﻄﺒﻲ‬5488881 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Taawin Polyclinic 2 ‫ ﻣﺠﻤﻊ ﺍﻟﺘﻌﺎﻭﻥ ﺍﻟﺜﺎﻧﻲ‬5440408 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Taawin Polyclinic 3 ‫ ﻣﺠﻤﻊ ﺍﻟﺘﻌﺎﻭﻥ ﺍﻟﺜﺎﻟﺚ ﺍﻟﻄﺒﻲ‬5410399 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ameed Medical Clinic - Al Kharj ‫ ﺍﻟﺨﺮﺝ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﻤﻴﺪ‬15443377 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Taawin National Clinic - Al Khar ‫ ﺍﻟﺨﺮﺝ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺘﻌﺎﻭﻥ ﺍﻷﻫﻠﻲ‬15440408 City AL KHORMAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel People Kharma General Medical Com ‫ ﺍﻟﺨﺮﻣﺔ‬- ‫ ﻣﺠﻤﻊ ﺃﻫﺎﻟﻲ ﺍﻟﺨﺮﻣﺔ ﺍﻟﻄﺒﻲ ﺍﻟﻌﺎﻡ‬28321431 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Elaj Medical Clinic - Al Khormah ‫ ﺍﻟﺨﺮﻣﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﻼﺝ ﺍﻻﻫﻠﻲ‬28323389 City AL RUSS class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Shark National Clinic - Al Rass ‫ ﺍﻟﺮﺱ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﺮﻕ ﺍﻷﻫﻠﻲ‬63330764 Page 2 of 64

VIP Y Y Y VIP Y Y VIP Y Y Y Y Y Y Y Y Y VIP Y Y VIP Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City AL RUSS class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Azzaeyd Hospital - Al Rass ‫ ﺍﻟﺮﺱ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺰﺍﻳﺪ‬63337007 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Taya Medical Polyclinic - Al Rass ‫ ﺍﻟﺮﺱ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻄﺎﺋﻊ‬63335500 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Baraka Polyclinic (3) - Al Rass ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺒﺮﻛﺔ ﺍﻟﺜﺎﻟﺚ ﺑﺎﻟﺮﺱ‬63335500 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Genah Medical Center - Al - Rass ‫ ﺍﻟﺮﺱ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺠﻨﺎﺡ ﺍﻟﻄﺒﻲ‬3335500 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Shifa Al Rass Polyclinic - Al Rass ‫ ﺍﻟﺮﺱ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﻔﺎﺀ ﺍﻟﺮﺱ ﺍﻟﻄﺒﻲ‬163334089 City AL-AHASA class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Obaid Hospital - Al Ahasa ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻌﺒﻴﺪ‬35303333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Faisal Dispensary - Al Ahasa ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻓﻴﺼﻞ‬35930344 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Moosa Hospital - Al Ahasa ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﻮﺳﻰ‬35307000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Rida Clinic - Al Ahasa ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﺿﺎ‬35966980 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Menbar Al Huda Dispensary - Al Aha ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻣﻨﺒﺮ ﺍﻟﻬﺪﻯ‬35750500 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Mouwasat Poly Clinics - Al Ahasa ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﻮﺍﺳﺎﺓ ﺍﻟﻄﺒﻲ‬35360000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ahsa Hospital - Al Ahasa ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻷﺣﺴﺎﺀ‬35844000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Elaj Hospital - Al Ahasa ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﻋﻼﺝ‬35930333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Shawi Dispensary - Al Ahasa ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﺎﻭﻱ‬35821500 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Madaar Al Shefa Dental Polyclinic (A‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ) ﺍﻻﺣﺴﺎﺀ‬35318555 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dahim Clinic - Al Ahsa ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺩﺍﻫﻢ‬35755599 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Zamzam Polyclinic - Al Ahsa ‫ ﺍﻻﺣﺴﺎﺀ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺯﻣﺰﻡ ﺍﻟﻄﺒﻲ‬35820606 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ram Dental Care - Alahsa ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﺍﻡ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ﺑﺎﻻﺣﺴﺎﺀ‬8648181 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Magrabi Center -Eye,Ent (Ahssa) ‫ ( ﻭ ﺍﻟﺤﻨﺠﺮﺓ ﻭ ﺍﻷﺫﻥ ﻣﺮﻛﺰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬38180000223 Page 3 of 64

VIP Y Y Y Y Y VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City AL-AHASA class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Otaish Polyclinic - Al Ahsa'A ‫ ﺍﻷﺣﺴﺎﺀ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻌﻄﻴﺶ‬5330072 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Bright Smile Center Company ‫ ﻣﺮﻛﺰ ﺍﻻﺑﺘﺴﺎﻣﺔ ﺍﻟﻤﺸﺮﻗﺔ‬135933337 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Care & Beauty Dental Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺮﻛﺰ ﻋﻨﺎﻳﺔ ﻭﺟﻤﺎﻝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬5885664 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Salwa General Hospital ‫ ﻣﺴﺘﺸﻔﻰ ﺳﻠﻮﻯ ﺍﻟﻌﺎﻡ‬135470259 City ALKHOBAR class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Mohamed Al Dossary Hospital - Al K ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﻣﺤﻤﺪ ﺍﻟﺪﻭﺳﺮﻱ‬38945524 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Jazira Clinic - Al Khobar - Al Tho ‫ ﺍﻟﺜﻘﺒﺔ‬- ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺠﺰﻳﺮﺓ‬38640079 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saad Specialist Hospital - Al Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺳﻌﺪ ﺍﻟﺘﺨﺼﺼﻲ‬38826666 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Academic Dental Dispensary - Al Kho ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻷﻛﺎﺩﻳﻤﻲ ﻟﻸﺳﻨﺎﻥ‬38944626 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Juaidi Dispensary - Al Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺠﻌﻴﺪﻱ‬38996669 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Khobar Cooperative Clinic - Al Khob ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﺒﺮ ﺍﻟﺘﻌﺎﻭﻧﻲ‬38640141 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Yousif Hospital - Al Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻴﻮﺳﻒ‬38642736 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Badoghaish Eye Center - Al Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﺑﺎ ﺩﻏﻴﺶ ﻟﻠﺒﺼﺮﻳﺎﺕ‬38951097 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Faraby Medical Center - Al Khoba ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﺎﺭﺍﺑﻲ‬38916163 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Layla Al-Onaizi Polyclinic - Al Kh ‫ ﺍﻟﺨﺒﺮ ﻋﻴﺎﺩﺍﺕ‬- ‫ ﻟﻴﻠﻰ ﺍﻟﻌﻨﻴﺰﻱ‬.‫ ﺩ‬38574040 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Shifa Al-Khobar Polyclinic - Al Khob ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﻔﺎﺀ ﺍﻟﺨﺒﺮ‬38944984 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Khobar National Clinic - Al Khoba ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﺒﺮ ﺍﻟﻮﻃﻨﻲ‬38951588 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ram Dental Clinics - Al Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﺍﻡ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬38648181 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Artal Dental Clinic - Al Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺍﺭﺗﺎﻝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬38879946 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ozone Dental Center - Al Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ ﻣﺠﻤﻊ ﺃﻭﺯﻭﻥ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬38940007 Page 4 of 64

VIP Y Y Y Y VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City ALKHOBAR Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Riaya Hospital - Al Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺮﻋﺎﻳﺔ ﺍﻟﺘﺨﺼﺼﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Modern Dental Center Dispensary - A ‫ ﺑﺎﻟﺨﺒﺮ‬- ‫ﻣﺮﻛﺰ ﻃﺐ ﺍﻻﺳﻨﺎﻥ ﺍﻟﺤﺪﻳﺚ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Elaj Medical Center - Al Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ﻣﺮﻛﺰ ﻋﻼﺝ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Doha National Dispensary - Dahra ‫ ﺍﻟﻈﻬﺮﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺪﻭﺣﺔ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Specialized Dental Clinic - Al Dhara ‫ ﺍﻟﻈﻬﺮﺍ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻄﺐ ﺍﻟﻤﺘﺨﺼﺺ ﻟﻸﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Basamat Dental Center - Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﺴﻤﺎﺕ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Saudi Swiss Consultant Dental Cente ‫ ﻣﺠﻤﻊ ﺍﻟﻤﺮﻛﺰ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻟﺴﻮﻳﺴﺮﻱ ﺍﻻﺳﺘﺸﺎﺭﻱ‬Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Shorouk Al Hada ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻭﻕ ﺍﻟﻬﺪﻯ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ali N. N. Al Hadban M. C. C. O. ‫ﺷﺮﻛﺔ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻋﻠﻲ ﻧﺎﺟﻲ ﺍﻟﻴﺎﻣﻲ ﻭﺷﺮﻳﻜﻪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rawnq Dental Clinic ‫ﻣﺠﻤﻊ ﺍﻟﺮﻭﻧﻖ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Center - Eye,Ent,Dental (Kh‫ﻭ ﻭ ﺍﻟﺤﻨﺠﺮﺓ ﻭ ﺍﻷﺫﻥ ﻣﺮﻛﺰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Eyelash Optical ‫ ﺃﻳﻼﺵ ﻟﻠﺒﺼﺮﻳﺎﺕ‬- ‫ﺷﺮﻛﺔ ﺟﻔﻦ ﺍﻟﺮﻳﺎﺽ ﺍﻟﺘﺠﺎﺭﻳﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Millennium Dental Center ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﺍﻻﻟﻔﻴﺔ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Elite Specialist Clinics -Khobar ‫ﺍﻟﺨﺒﺮ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻨﺨﺒﺔ ﺍﻟﺘﺨﺼﺼﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ibn Sena Dental Center-Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ﻣﺮﻛﺰ ﺍﺑﻦ ﺳﻴﻨﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Domain Dental Center - Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ﻣﺠﻤﻊ ﻣﺠﺎﻝ ﺍﻷﺳﻨﺎﻥ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Twareat Medical Center ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺮﻛﺰ ﻃﻮﺍﺭﺋﻴﺎﺕ ﻟﻠﻌﻨﺎﻳﺔ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Jabal Ram Dental Care ‫ ﺍﻟﺨﺒﺮ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺟﺒﻞ ﺭﺍﻡ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Rafa Medical Center ‫ ﺍﻟﺨﺒﺮ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﻓﺎﺀ ﺍﻟﻄﺒﻲ‬ Page 5 of 64

class Tel 38955900 Tel 38430243 Tel 38655221 Tel 38919291 Tel 38928442 Tel 38029008 Tel 8898713 Tel 8820006 Tel 38908333 Tel 38820003 Tel 38180000 Tel 8876567 Tel 38450400 Tel 38969975 Tel 138645710 Tel 138979922 Tel 138587000 Tel 138675566 Tel 138974777

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City ALKHOBAR Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Astoon-Hospital - Al Khobar ‫ ﺍﻟﺨﺒﺮ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﺳﻄﻮﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr Fakhry & Mouhawais Hospital - A ‫ ﺍﻟﺨﺒﺮ ﻣﺴﺘﺸﻔﻰ‬- ‫ ﻓﺨﺮﻱ‬.‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mana General Hospital - Al Khoba ‫ ﺍﻟﺨﺒﺮ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﺎﻧﻊ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Salama Hospital - Al Khobar` ‫ ﺍﻟﺨﺒﺮ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺴﻼﻣﺔ‬ City AQIQ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Hashbool National Clinic - Al Aqi ‫ ﺍﻟﻌﻘﻴﻖ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻬﺸﺒﻮﻝ‬ City ARAR Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Khanani Clinic - Arar ‫ ﻋﺮﻋﺮ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﻨﺎﻧﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Fawaz Medical Clinic - Arar ‫ ﻋﺮﻋﺮ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﻮﺍﺯ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Nukhba Medical Clinic ‫ ﻋﺮﻉ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻨﺨﺒﺔ ﺍﻟﺼﺤﻴﺔ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Raja'A Medical Polyclinic - Arar ‫ ﻋﺮﻋﺮ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﺟﺎﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Ryian Medical Polyclinic - Al Oqu ‫ ﺍﻟﻌﻮﻳﻘﻴﻠﺔ ) ﺍﻟﺤﺪﻭﺩ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺮﻳﺎﻥ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Salamaty Polyclinic For Medical Serv ‫ ﻋﺮﻋﺮ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺳﻼﻣﺘﻲ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Amass Health Polyclinic Complex - A ‫ ﻋﺮﻋﺮ‬- ‫ﻣﺠﻤﻊ ﺻﺤﺔ ﺃﻣﺎﺱ ﺍﻟﻄﺒﻲ‬ City Abha Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rahma Hospital - Abha ‫ ﺍﺑﻬﺎ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺮﺣﻤﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Abha National Clinic - Abha ‫ ﺍﺑﻬﺎ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﺑﻬﺎ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Eyad Dental Medical Clinic - Abha ‫ ﺍﺑﻬﺎ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻳﺎﺩ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Deryaq Medical Center - Namas / Ab ‫ ﺍﺑﻬﺎ‬- ‫ ﺍﻟﻨﻤﺎﺹ‬- ‫ﻣﺮﻛﺰ ﺩﺭﻳﺎﻕ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Nomais Medical Complex Al Muzf ‫ ﺃﺑﻬﺎ‬- (‫ﻣﺠﻤﻊ ﺍﻟﻨﻤﻴﺺ ﺍﻟﻄﺒﻲ )ﺣﻲ ﺍﻟﻤﻮﻇﻔﻴﻦ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Medical Cen. For Consultive Clinis ‫ ﺍﺑﻬﺎ‬- ‫ﺍﻟﻤﺠﻤﻊ ﺍﻟﻄﺒﻲ ﻟﻠﻌﻴﺎﺩﺍﺕ ﺍﻹﺳﺘﺸﺎﺭﻳﺔ‬ Page 6 of 64

class Tel 38577100 Tel 38641977 Tel 38987000 Tel 38641232 class Tel 77290145 class Tel 46627064 Tel 46643000 Tel 46626051 Tel 46629090 Tel 46690014 Tel 46636222 Tel 6638383 class Tel 72282020 Tel 72244888 Tel 72310011 Tel 72820222 Tel 72282727 Tel 72298884

VIP Y Y Y Y VIP Y VIP Y Y Y Y Y Y Y VIP Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Abha class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saleh Manaa Al Wadei Polyclinic ‫ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺘﺨﺼﺺ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺻﺎﻟﺢ ﺍﻟﻮﺍﺩﻋﻲ‬72258000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Arkan Polyclinic - Abha ‫ ﺍﺑﻬﺎ‬- ‫ ﻋﻴﺎﺩﺕ ﺍﻷﺭﻛﺎﻥ‬72282626 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Amer Medical Clinic - Barg - Al M ‫ ﺍﻟﻤﺠﺎﺭﺩﺓ‬/ ‫ ﺑﺎﺭﻕ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﺎﻣﺮ ﺍﻟﻄﺒﻲ‬72835555 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Themal Medical Center - Abha ‫ ﺍﺑﻬﺎ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺜﻤﺎﻝ ﺍﻟﻄﺒﻲ‬72316666 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dental Universe Center - Abha ‫ ﺍﺑﻬﺎ‬- ‫ ﻣﺮﻛﺰ ﺍﻟﻌﺎﻟﻢ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬72310012 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Safa Polyclinic Modern Medical - A ‫ ﺍﺣﺪ ﺭﻓﻴﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺼﻔﺎ ﺍﻟﻄﺒﻲ ﺍﻟﺤﺪﻳﺚ‬72506622 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Zayed Dental Clinic ‫ ﺃﺑﻬﺎ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ‬- ‫ ﺯﺍﻳﺪ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬.‫ ﺩ‬72255501 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Maternity & Child Hospital - Abha ‫ ﺍﻟﻤﺴﺘﺸﻔﻰ ﺍﻟﺘﺨﺼﺼﻲ ﻟﻠﻨﺴﺎﺀ ﻭﺍﻟﻮﻻﺩﺓ ﻭﺍﻷﻃﻔﺎﻝ‬- 72258000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Haramain Medical Polyclinic - Ah ‫ ﺃﺣﺪ ﺭﻓﻴﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﺮﻣﻴﻦ ﺍﻟﻄﺒﻲ‬72507271 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ballaa Branch Est. (Farza Optics) ‫ )ﻣﺆﺳﺴﺔ ﺍﻟﺒﻼﻉ ﺍﻟﺘﺠﺎﺭﻳﺔ ) ﻧﻈﺎﺭﺍﺕ ﻓﺮﺯﻩ‬72243264 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Daweni Medical Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﺍﻭﻧﻲ‬2280505 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saad Medical Specialized Group-Abh ‫ﺃﺑﻬﺎ‬-‫ ﻣﺠﻤﻮﻋﺔ ﺳﻌﺪ ﺍﻟﻄﺒﻴﺔ ﺍﻟﺘﺨﺼﺼﻴﺔ‬172277755 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Abha Private Hospital - Abha ‫ ﺍﺑﻬﺎ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﺑﻬﺎ ﺍﻟﺨﺎﺹ‬72292222 City Al Henakiyah class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Henakiyah Private Clinic - Al Hen ‫ ﺍﻟﺤﻨﺎﻛﻴﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻨﺎﻛﻴﺔ ﺍﻟﺨﺎﺹ‬48620889 City Al Nuairiyah class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Nuairiah National Clinic - Nuairiy ‫ ﺍﻟﻨﻌﻴﺮﻳﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻨﻌﻴﺮﻳﺔ ﺍﻷﻫﻠﻲ‬33731284 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saudi Italian Dental Center ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻻﻳﻄﺎﻟﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬33733577 City Al Quraiat class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Ali Abo Taleb Polyclinc - Al Qura ‫ ﺍﻟﻘﺮﻳﺎﺕ ﻋﻴﺎﺩﺍﺕ‬- ‫ ﻋﻠﻲ ﺍﺑﻮﻃﺎﻟﺐ‬.‫ ﺩ‬46421169 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ajaj Clinic - Al Quraiat ‫ ﺍﻟﻘﺮﻳﺎﺕ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﺠﺎﺝ‬46422227 Page 7 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y VIP Y VIP Y Y VIP Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Al Quraiat class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel National Clinic - Al Quraiat ‫ ﺍﻟﻘﺮﻳﺎﺕ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﻮﻃﻨﻲ‬46421235 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Bader Medical Center - Al Quraia ‫ ﺍﻟﻘﺮﻳﺎﺕ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺪﻛﺘﻮﺭ ﺑﺪﺭ ﺍﻟﻄﺒﻲ‬46432333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Mohammed Polyclinic Center - A ‫ ﺍﻟﻘﺮﻳﺎﺕ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺪﻛﺘﻮﺭ ﻣﺤﻤﺪ ﺍﻟﻄﺒﻲ‬46417608 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Gurayat General Hospital - Gurayat ‫ﺍﻟﻘﺮﻳﺎﺕ‬-‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻘﺮﻳﺎﺕ ﺍﻟﻌﺎﻡ‬46424972 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Sultan Medical Center ‫ ﺍﻟﻘﺮﻳﺎﺕ‬- ‫ ﻣﺠﻤﻊ ﺳﻠﻄﺎﻥ ﺍﻟﻄﺒﻲ‬146418080 City Allith class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Salam Medical Clinic ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻼﻡ‬77420447 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Allith Nat. Clinic - Al Lith ‫ ﺍﻟﻠﻴﺚ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻠﻴﺚ ﺍﻟﻮﻃﻨﻲ‬77423446 City Atawlah class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Osama Polyclinic - Aqeaq (Baha) ‫ ﺍﻟﺒﺎﺣﺔ‬/ ‫ ﺍﻟﻌﻘﻴﻖ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﺳﺎﻣﺔ‬77293000 City BADAIE class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dawna Medical Polyclinic ‫ ﺍﻟﺒﺪﺍﺋﻊ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﺍﻭﻧﺎ ﺍﻟﻄﺒﻲ‬163326660 City BADER class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Noor Clinic - Bader ‫ ﺑﺪﺭ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻨﻮﺭ‬43324541 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Takhssosy Clinic - Bader ‫ ﺑﺪﺭ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺑﺪﺭ ﺍﻟﺸﻬﺪﺍﺀ ﺍﻟﺘﺨﺼﺼﻲ‬43322440 City BAGAA class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Baqa'A Ahli Clinic - Bagaa ‫ ﺑﻘﻌﺎﺀ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺑﻘﻌﺎﺀ ﺍﻷﻫﻠﻲ‬65271122 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Allewa'A Medical Complex - Baqa'A ‫ ﺑﻘﻌﺎﺀ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻠﻮﺍﺀ ﺍﻟﻄﺒﻴﺔ‬65271122 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Bright Smile Dental Clinics ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻻﺑﺘﺴﺎﻣﺔ ﺍﻟﻤﻀﻴﺌﺔ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬5275550 City BAHRAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Farhan Al Nadir Polyclinic (1) Rema ‫( ﺭﻣﺎﺡ‬1) ‫ ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﻓﺮﺣﺎﻥ ﺍﻟﻨﺎﺩﺭ‬15520096 City BALJURASHI class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ghamed Clinic - Balurashi ‫ ﺑﻠﺠﺮﺷﻲ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻏﺎﻣﺪ‬77220540 Page 8 of 64

VIP Y Y Y Y Y VIP Y Y VIP Y VIP Y VIP Y Y VIP Y Y Y VIP Y VIP Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Provider Name Dar Al Shifa Medical Center - Baljur Provider Name Ghodran General Hospital - Balurash City Provider Name Shuaa Al-Salam Medical Complex - B Provider Name Medical Mostashary Polyclinic - Bish Provider Name King Abdullah Hospital - Bisha City Provider Name Al Amal Dispensary - Bishah Provider Name Bisha Medical Dispensary - Bishah Provider Name Bin Kadasah Medical Dispensary - Bi Provider Name General Medical Care Polyclinic - Bis City Provider Name Al Ttadawe Clinic - Bukariyah City Provider Name Al Mohaimid National Clinic - Bureid Provider Name Al Faiha Medical Center - Bureidah Provider Name Al Habib National Clinic - Bureidah Provider Name Salamat Medical Clinic - Bureidah Provider Name Breideh Med. Cen. Of Dentistry - Bur Provider Name Gnp Polyclinic - Bureidah Provider Name Medical Saudian Polyclinic - Bureida

BALJURASHI class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﻠﺠﺮﺷﻲ‬- ‫ ﻣﺮﻛﺰ ﺩﺍﺭ ﺍﻟﺸﻔﺎﺀ ﺍﻟﻄﺒﻲ‬77225371 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﻠﺠﺮﺷﻲ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﻏﺪﺭﺍﻥ ﺍﻟﻌﺎﻡ‬77224470 BIESH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﻴﺸﺔ‬- ‫ ﻣﺠﻤﻊ ﺷﻌﺎﻉ ﺍﻟﺴﻼﻡ ﺍﻟﻄﺒﻲ ﺍﻟﻌﺎﻡ‬176221516 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﻴﺸﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻣﺴﺘﺸﺎﺭﻱ ﺍﻟﻄﺒﻲ‬76221111 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ﺑﻴﺸﻪ‬-‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﻠﻚ ﻋﺒﺪﺍﻟﻠﻪ‬76220957 BISHAH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﻴﺸﻪ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﻣﻞ‬76226900 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﻴﺸﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺑﻴﺸﺔ‬76226560 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﻴﺸﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺑﻦ ﻛﺪﺳﺔ‬76200033 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﻴﺸﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﻨﺎﻳﺔ ﺍﻟﺸﺎﻣﻠﺔ‬76220001 BUKAIRIYAH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺒﻜﻴﺮﻳﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺗﺪﺍﻭﻱ‬63358708 BUREIDAH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺤﻴﻤﻴﺪ ﺍﻷﻫﻠﻲ‬63244901 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﻴﺤﺎﺀ‬63810017 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﺒﻴﺐ‬63239885 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺳﻼﻣﺎﺕ ﺍﻷﻫﻠﻲ‬63819966 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﺮﻳﺪﺩﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺑﺮﻳﺪﺓ ﻟﻸﺳﻨﺎﻥ‬63817776 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﺮﻳﺪﺓ ﻣﺴﺘﻮﺻﻒ‬- ‫ ﻏﺴﺎﻥ ﻧﺠﻴﺐ ﻓﺮﻋﻮﻥ‬.‫ ﺩ‬63812996 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻟﻄﺒﻲ‬63810196 Page 9 of 64

VIP Y Y VIP Y Y Y VIP Y Y Y Y VIP Y VIP Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City BUREIDAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ehsan Dental Clinic - Bureidah ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻹﺣﺴﺎﻥ ﻟﻸﺳﻨﺎﻥ‬63818367 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Safwa Polyclinic - Bureidah ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺼﻔﻮﺓ ﺍﻟﻄﺒﻲ‬63837777 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Maali Medical Clinic - Buraidah ‫ ) ﺍﻟﻄﺐ ﺍﻟﺸﻠﻤﻞ ﺳﺎﺏ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﻌﺎﻟﻲ ﺑﺮﻳﺪﻩ‬63838888 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Future Care Clinics - Bureidah ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻋﻨﺎﻳﺔ ﺍﻟﻤﺴﺘﻘﺒﻞ‬63259900 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Flaiw Polyclinc - Buraidah ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﻠﻴﻮ ﺍﻷﻫﻠﻲ‬63856611 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Madaar Al Shefa Dental Polyclinic (B ‫ ) ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ )ﺑﺮﻳﺪﺓ‬63811337 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Qasseem National Hospital-Buraidah ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻘﺼﻴﻢ ﺍﻟﻮﻃﻨﻲ‬63836100 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Suliman Al Habib Medical Center ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﺳﻠﻴﻤﺎﻥ ﺍﻟﺤﺒﻴﺐ‬/‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺪﻛﺘﻮﺭ‬63166666 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Rasheed Medical Polyclinic - Buraida ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺭﺷﻴﺪ ﺍﻟﻄﺒﻲ‬63814400 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Shifa Buraidha Polyclinic - Buraida ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﻔﺎﺀ ﺑﺮﻳﺪﺓ ﺍﻟﻄﺒﻲ‬63694332 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saudi Shamel Dental Clinic - Buraida ‫ ﺑﺮﻱ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻟﺸﺎﻣﻞ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬63819050 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Kwader Medicine Dental - Buraidah ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻛﻮﺍﺩﺭ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬63831100 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Panorama Care Clinics ‫ ﻋﻴﺎﺩﺍﺕ ﻋﻨﺎﻳﺔ ﺑﺎﻧﻮﺭﺍﻣﺎ ﺍﻟﻄﺒﻴﺔ‬3846777 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Faiha Medical Clinic - 2 ‫ ﺑﺮﻳﺪﺓ‬- 2 ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﻴﺤﺎﺀ ﺍﻟﻄﺒﻲ‬163855070 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ferah Hospital - Bureidah ‫ ﺑﺮﻳﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻔﺮﻳﺢ‬63245501 City DAMMAM class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Faraby Dispensary - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﺎﺭﺍﺑﻲ‬38420909 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mouwasat Dispensary - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻮﺍﺳﺎﺓ‬38260800 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saudi European Dental Clinic - Damm‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻟﻮﺭﻭﺑﻲ ﻟﻸﺳﻨﺎﻥ‬38267660 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Rawdha Dispensary - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﻭﺿﺔ ﺍﻷﻫﻠﻲ‬38346555 Page 10 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y VIP Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City DAMMAM Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Avicena Dental Center Co. Ltd. - Dam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺮﻛﺰ ﺍﺑﻦ ﺳﻴﻨﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mana Dispensry- Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺎﻧﻊ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ General Care Dispensary - Damma ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﻨﺎﻳﺔ ﺍﻟﺸﺎﻣﻠﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dar Assihha Dispensary - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺩﺍﺭﺍﻟﺼﺤﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Center - Eye, Ent ( Dammam ‫( ﻭ ﺍﻟﺤﻨﺠﺮﺓ ﻭ ﺍﻷﺫﻥ ﻣﺮﻛﺰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dammam National Dispensary - Dam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺪﻣﺎﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Badr Al Rabie Dispensary - Damma ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺑﺪﺭ ﺍﻟﺮﺑﻴﻊ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dammam Rays Center - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺮﻛﺰ ﺃﺷﻌﺔ ﺍﻟﺪﻣﺎﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dammam Medical Clinic - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺪﻣﺎﻡ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Faraby Dispensary 1st Industrial C‫ ﺍﻟﺪﻣﺎﻡ‬- )1‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﺎﺭﺍﺑﻲ ) ﻣﺪﻳﻨﺔ ﺍﻟﺼﻨﺎﻋﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Madaar Al Shefa Dental Poly Clinic ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻋﻴﺪﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎﺀ ﻟﻸﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Special Care Denteal Dispensary-Dam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﻋﺎﻳﺔ ﺍﻟﺨﺎﺻﺔ ﻟﻼﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Ahmadi Medical Complex - Damm ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺠﻤﻊ ﺍﻷﺣﻤﺪﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Health & Life Dispensary - Damma ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺼﺤﺔ ﻭﺍﻟﺤﻴﺎﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Kahhal Medical Complex - Damm ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺠﻤﻊ ﺍﻟﻜﺤﺎﻝ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Cardio Vascular Center - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻋﻴﺎﺩﺓ ﺍﻣﺮﺍﺽ ﺍﻟﻘﻠﺐ ﻭﺍﻷﻭﻋﻴﺔ ﺍﻟﺪﻣﻮﻳﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Attamayuz Physiotherapy Co. - Damm ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﺷﺮﻛﺔ ﺍﻟﺘﻤﻴﺰ ﻟﻠﻌﻼﺝ ﺍﻟﻄﺒﻴﻌﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dar Al Afia Medical Group ‫ﻣﺠﻤﻮﻋﺔ ﺩﺍﺭ ﺍﻟﻌﺎﻓﻴﺔ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Khaled Al Zahrani Medical Cente ‫ ﺍﻟﺪﻣﺎﻡ ﻣﺮﻛﺰ ﻭﻣﺠﻤﻊ‬- ‫ ﺧﺎﻟﺪ ﺍﻟﺰﻫﺮﺍﻧﻲ ﺍﻟﻄﺒﻲ‬.‫ﺩ‬ Page 11 of 64

class Tel 38338486 Tel 38122161 Tel 38467777 Tel 38177899 Tel 38200000 Tel 38434090 Tel 38340903 Tel 38301718 Tel 38271329 Tel 38474080 Tel 38154214 Tel 38154461 Tel 38201111 Tel 38222222 Tel 38097777 Tel 38276195 Tel 38154119 Tel 38050101 Tel 38188866

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City DAMMAM class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Canadian Medical Center - Damma ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﻤﺮﻛﺰ ﺍﻟﻜﻨﺪﻱ ﺍﻟﻄﺒﻲ‬920005510 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Al Mozher Dental Polyclinic - Dam ‫ ﺍﻟﺪﻣﺎ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻋﺒﺪﺍﻟﻠﻪ ﺍﻟﻤﺰﻫﺮ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬38418706 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Modern Dental Center Company Ltd ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﺷﺮﻛﺔ ﻣﺮﻛﺰ ﻃﺐ ﺍﻻﺳﻨﺎﻥ ﺍﻟﺤﺪﻳﺚ‬38430243 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Fajar Al Dammam Medical Complex ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺠﻤﻊ ﻓﺠﺮ ﺍﻟﺪﻣﺎﻡ ﺍﻟﻄﺒﻲ‬38152555 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Mada Dental Center - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺮﻛﺰ ﻣﺪﻯ ﻟﻄﺐ ﻭﺗﻘﻮﻳﻢ ﺍﻷﺳﻨﺎﻥ‬38464222 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ahaleena Dental Clinic - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺃﻫﺎﻟﻴﻨﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬38333044 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Specialist Dental Treatment Center‫ﺍﻝ‬- - ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻌﻼﺝ ﺍﻟﺘﺨﺼﺼﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬38344428 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Safa Medical Center Dammam - Dam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺻﻔﺎ ﺍﻟﺪﻣﺎﻡ ﺍﻟﻄﺒﻲ‬38351016 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Diamond Dental Center-Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺠﻤﻊ ﻣﺮﻛﺰ ﺍﻟﻤﺎﺱ ﻟﻄﺐ ﻭﺗﻘﻮﻳﻢ ﺍﻷﺳﻨﺎﻥ‬35860952 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Shifa Al Dammam Medical Center - D ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﻔﺎﺀ ﺍﻟﺪﻣﺎﻡ ﺍﻟﻄﺒﻲ‬38176806 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dento Plast Center'S - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺮﺍﻛﺰ ﺗﺠﻤﻴﻞ ﺍﻷﺳﻨﺎﻥ‬38180066 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Rai Medical Dispensary - Damma ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﺃﻱ‬38211911 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Taqwa Medical Complex - Dam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺘﻘﻮﻯ ﺍﻟﻄﺒﻲ ﺍﻟﻌﺎﻡ‬38096464 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dar Al Hekmah Dispensary - Damma ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺩﺍﺭ ﺍﻟﺤﻜﻤﺔ‬38264749 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Adwa'A Al Haikmah Dental Center - ‫ ﺍﻟﺪﻣﺎ‬- ‫ ﻣﺮﻛﺰ ﺃﺿﻮﺍﺀ ﺍﻟﺤﻜﻤﺔ ﻟﻄﺐ ﻭﺗﻘﻮﻳﻢ ﺍﻷﺳﻨﺎﻥ‬38320130 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Arrawdha General Hospital ‫ ﻣﺴﺘﻔﻰ ﺍﻟﺮﻭﺿﺔ ﺍﻟﻌﺎﻡ‬38346555 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ajyed Polyclinic ‫ ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﺍﺟﻴﺎﺩ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻟﻄﺒﻴﺔ ﺍﻟﻤﺤﺪﻭﺩﺓ‬38056444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Jood Dental Complex ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺠﻮﺩ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ﻭﺍﻟﺘﻘﻮﻳﻢ‬38373434 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel International Medical Center - Damm ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻄﺐ ﺍﻟﺪﻭﻟﻲ‬38277445 Page 12 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City DAMMAM Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ram Dental Care - Dammam ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﺍﻡ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ﺑﺎﻟﺪﻣﺎﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ White House Opticals - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﺑﺎ ﺩﻏﻴﺶ ﻟﻠﺒﺼﺮﻳﺎﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Bashawri Opticals - Dammam ‫ﺍﻟﺒﺸﺎﻭﺭﻱ ﻟﻠﻨﻈﺎﺭﺍﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ram Dental Care Dammam 2 Branc ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﺍﻡ ﺍﻟﻄﺒﻲ ﻭﺗﻘﻮﻳﻢ ﺍﻵﺳﻨﺎﻥ‬2 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Lama Medical Complex ‫ﻣﺠﻤﻊ ﻻﻣﺎ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr Abdalaziz Alwehaibi Medical Com ‫ﻋﺒﺪ ﺍﻟﻌﺰﻳﺰ ﺍﻟﻮﻫﻴﺒﻲ ﺍﻟﻄﺒﻲ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ‬.‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Kahhal Optical-Dammam ‫ﺍﻟﺪﻣﺎﻡ‬-‫ﻧﻈﺎﺭﺍﺕ ﺍﻟﻜﺤﺎﻝ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ibn Sena Dental Center-Jameen ‫ ﺣﻲ ﺍﻟﺠﺎﻣﻊ‬- ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺮﻛﺰ ﺍﺑﻦ ﺳﻴﻨﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Smile Dental Center Co. Ltd. ‫ﻣﺠﻤﻊ ﺳﺮ ﺍﻻﺑﺘﺴﺎﻣﺔ ﻟﻄﺐ ﻭﺗﻘﻮﻳﻢ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rayan Extra Ordinary Polyclinic ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻟﺮﻳﺎﻥ ﺍﻟﻤﺘﻤﻴﺰﺓ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tadawi General Hospital- Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺗﺪﺍﻭﻱ ﺍﻟﻌﺎﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Dukair Clinic - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺬﻛﻴﺮ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mana General Hospital - Damma ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﺎﻧﻊ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mouwasat Hospital - Dammam ‫ ﺍﻟﺪﻣﺎﻡ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﻮﺍﺳﺎﺓ‬ City DARB Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Darb National Polyclinic - Al Dar ‫ ﺍﻟﺪﺭﺏ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺪﺭﺏ ﺍﻷﻫﻠﻲ‬ City DAREIA Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ National Dariah Polyclinic - Dareia ‫ ﺿﺮﻳﺔ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺿﺮﻳﺔ‬ City DAWMAT AL JANDAL Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Amal Clinic - Dawmat Al Jandal ‫ ﺩﻭﻣﺔ ﺍﻟﺠﻨﺪﻝ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻷﻣﻞ‬

Page 13 of 64

class Tel 8154214 Tel 38950577 Tel 8350024 Tel 8425701 Tel 38152555 Tel 138099814 Tel 138097777 Tel 38436500 Tel 138117260 Tel 138335233 Tel 38348777 Tel 38427461 Tel 38262111 Tel 38200000 class Tel 73460415 class Tel 62420525 class Tel 46220981

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y VIP Y VIP Y VIP Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Provider Name Dhuba National Polyclinic - Dheba Provider Name Al Amal Medical Center - Mahd Al D Provider Name Anmar Al Khaleg Medical Polyclinic City Provider Name Dr. Noor Mohd Khan'S Polyclinic - H Provider Name Al Hujielan Medical Dispensary - Haf Provider Name Dr. Noor M. Khan Hospital - Hafr Al City Provider Name Salamat Clinic - Hail Provider Name National Clinic - Hail Provider Name Ben Seena Clinic - Hail Provider Name Zamzam Clinic - Hail Provider Name Al Rashid Hospital - Hail Provider Name Al Ahli General Medical Complex - H Provider Name Semah Polyclinic - Hail Provider Name Al Khaleej Poly Clinic - Hail Provider Name Al Safa Clinic - Hail Provider Name Al Takhsees Dental Clinic - Hail Provider Name Al Noor Polyclinic-Hail Provider Name Al Takhsees Medical Group - Hail

DHEBA class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺿﺒﺎ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺿﺒﺎ ﺍﻷﻫﻠﻲ‬44320112 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﻬﺪ ﺍﻟﺬﻫﺐ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﻣﻞ‬48681372 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺿﺒﺎ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺃﻧﻤﺎﺭ ﺍﻟﺨﻠﻴﺞ‬44322200 HAFR ALBATEN class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﻔﺮ ﺍﻟﺒﺎﻃﻦ‬- ‫ ﻋﻴﺎﺩﺕ ﺍﻟﺪﻛﺘﻮﺭ ﻧﻮﺭ ﻣﺤﻤﺪ ﺧﺎﻥ‬37220701 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﻔﺮ ﺍﻟﺒﺎﻃﻦ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﺠﻴﻼﻥ‬372255270 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﻔﺮ ﺍﻟﺒﺎﻃﻦ ﻣﺴﺘﺸﻔﻰ‬- ‫ ﻧﻮﺭ ﺧﺎﻥ‬.‫ ﺩ‬37225550 HAIL class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﻳﻞ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺳﻼﻣﺎﺕ ﺍﻷﻫﻠﻲ‬65325777 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﺋﻞ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﻮﻃﻨﻲ‬65320333 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﻳﻞ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﺑﻦ ﺳﻴﻨﺎ‬65328514 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﺋﻞ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺯﻣﺰﻡ‬65333189 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﻳﻞ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺮﺍﺷﺪ‬65325462 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﺋﻞ‬- ‫ ﻣﺠﻤﻊ ﺍﻷﻫﻠﻲ ﺍﻟﻄﺒﻲ ﺍﻟﻌﺎﻡ‬65320303 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﻳﻞ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺳﻤﺎﺡ‬165328000 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﺋﻞ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﻠﻴﺞ‬65322333 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﻳﻞ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺼﻔﺎ‬65434397 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﻳﻞ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺘﺨﺼﻴﺺ ﻟﻸﺳﻨﺎﻥ‬65320239 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﺋﻞ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻨﻮﺭ‬65344440 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺣﺎﺋﻞ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺘﺨﺼﻴﺺ ﺍﻟﻄﺒﻲ‬65320239 Page 14 of 64

VIP Y Y Y VIP Y Y Y VIP Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City HAIL class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Labaas Polyclinic - Hail ‫ ﺣﺎﺋﻞ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻻﺑﺎﺱ ﺍﻟﻄﺒﻲ‬65339999 City HAQL class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Shaa'A Al Amal Dispensary - Haql ‫ ﺣﻘﻞ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺷﻌﺎﻉ ﺍﻷﻣﻞ‬44532922 City HOFUF class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Naim Polyclinic - Hofuf ‫ ﺍﻟﻬﻔﻮﻑ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻨﻌﻴﻢ ﺍﻟﻄﺒﻲ‬35877733 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Hajar Dispensary - Hofuf ‫ ﺍﻟﻬﻔﻮﻑ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻫﺠﺮ‬35804677 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Nisaee Dispensary -Hofuf ‫ ﺍﻟﻬﻔﻮﻑ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﻨﺴﺎﺋﻲ‬35863638 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mardia Al-Hawraa Clinic - Hofuf ‫ ﺍﻟﻬﻔﻮﻑ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺮﺿﻴﺔ ﺍﻟﺤﻮﺭﺍﺀ‬35879585 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Jameel M. Khattab Polyclinic - H ‫ ﺍﻟﻬﻔﻮﻑ ﻋﻴﺎﺩﺍﺕ‬- ‫ ﺟﻤﻴﻞ ﺧﻄﺎﺏ‬.‫ ﺩ‬35851096 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mana General Hospital - Hofuf ‫ ﺍﻟﻬﻔﻮﻑ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﺎﻧﻊ‬135887000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Maghlouth Medical Dispensary - H ‫ ﺍﻟﻬﻔﻮﻑ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻐﻠﻮﺙ ﺍﻟﻄﺒﻲ‬35313333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Clinic Hussein Ali Al-Ali Medical Ser‫ ﺷﺮﻛﺔ ﻣﺴﺘﻮﺻﻒ ﺣﺴﻴﻦ ﻋﻠﻲ ﺍﻟﻌﻠﻲ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻟﻄﺐ‬35878796 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Haddad Optics - Ahsa ‫ ﺍﻷﺣﺴﺎﺀ‬- ‫ ﻣﺮﺍﻛﺰ ﻧﻈﺎﺭﺍﺕ ﻋﻠﻲ ﺃﺣﻤﺪ ﺍﻟﺤﺪﺍﺩ‬35867748 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Nas Dental Dispnsary ‫ ﻣﺴﺘﻮﺻﻒ ﻧﺎﺱ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬5841444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Hussein Al Ali Hospital ‫ ﻣﺴﺘﺸﻔﻰ ﺷﺮﻛﺔ ﺣﺴﻴﻦ ﻋﻠﻲ ﻣﺤﻤﺪ ﺍﻟﻌﻠﻲ‬5827777 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Jameel Mahmoud Khattab Poly. C ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺪﻛﺘﻮﺭ ﺟﻤﻴﻞ ﻣﺤﻤﻮﺩ ﺧﻄﺎﺏ‬135885805 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mulhim Dispensary - Hofuf ‫ ﺍﻟﻬﻔﻮﻑ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻠﺤﻢ‬35800848 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Aziz Polyclinic - Hofuf ‫ ﺍﻟﻬﻔﻮﻑ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻋﺰﻳﺰ ﺍﻟﻄﺒﻲ‬35827963 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Hofuf National Clinic - Hofuf ‫ ﺍﻟﻬﻔﻮﻑ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻬﻔﻮﻑ ﺍﻟﻮﻃﻨﻲ‬35872216 City HOUTAT BANI-TAMIM class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Jaouly Polyclinic - Houtat Bani Ta ‫ ﺣﻮﻃﺔ ﺑﻨﻲ ﺗﻤﻴﻢ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺠﻌﻮﻟﻲ‬15550372 Page 15 of 64

VIP Y VIP Y VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y VIP Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City HOUTAT SODAIR Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sohul Kenanh Dental Clinic Center-H ‫ ﺣﻮ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻭﻣﺮﻛﺰ ﺳﻬﻮﻝ ﻛﻨﺎﻧﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ City Habona Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Salamah Polyclinic - Habona / Naj ‫ ﻧﺠﺮﺍﻥ‬/ ‫ ﺣﺒﻮﻧﺎ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻼﻣﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Hayat Specialized Medical Center ‫ ﺣﺒﻮﻧﺎ‬- ‫ﻣﺮﻛﺰ ﻃﺐ ﺍﻟﺤﻴﺎﺓ‬ City Ibqaiq Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Shefa Dispensary - Ibqaiq ‫ ﺑﻘﻴﻖ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﻔﺎﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Manar Al Seha Clinic - Ibqaiq ‫ ﺑﻘﻴﻖ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻣﻨﺎﺭ ﺍﻟﺼﺤﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Abdullah Al Dosari National Disp.-Ab ‫ ﺍﺑﻘﻴﻖ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻋﺒﺪﺍﻟﻠﻪ ﺍﻟﺪﻭﺳﺮﻱ ﺍﻻﻫﻠﻲ‬ City JEDDAH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Hussam Est - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺆﺳﺴﺔ ﺣﺴﺎﻡ ﻟﻠﺒﺼﺮﻳﺎﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Hai Al Jamea Hospital - Jeedah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺣﻲ ﺍﻟﺠﺎﻣﻌﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Salam Hospital - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺴﻼﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Ansar New Clinic - Jeedah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻷﻧﺼﺎﺭ ﺍﻟﺠﺪﻳﺪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Ansar Hospital - Jeedah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻷﻧﺼﺎﺭ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sisco Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺳﻴﺴﻜﻮ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Hayat Hospital - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺤﻴﺎﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ New Jaddani Hospital - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺠﺪﻋﺎﻧﻲ ﺍﻟﺠﺪﻳﺪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Islam Medical Clinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺇﺳﻼﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rayan Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﻳﺎﻥ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Saudi American Clinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻷﻣﺮﻳﻜﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Baraka Medical Clinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺒﺮﻛﺔ‬ Page 16 of 64

class Tel 64430960 class Tel 75452882 Tel 75459000 class Tel 35663444 Tel 35660163 Tel 35661455 class Tel 26658665 Tel 26808020 Tel 26970000 Tel 26933379 Tel 26825105 Tel 26380903 Tel 26374854 Tel 26368100 Tel 26871077 Tel 26316548 Tel 26608001 Tel 66761795

VIP Y VIP Y Y VIP Y Y Y VIP Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City JEDDAH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Jazirah Hospital - Jeedah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺠﺰﻳﺮﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Taawon Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺘﻌﺎﻭﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Zahra Hospital - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺰﻫﺮﺍﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rajhi Polyclinic - Jeedah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﺍﺟﺤﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Yasser Medical Clinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻳﺎﺳﺮ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Azizia Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﺰﻳﺰﻳﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ United Doctors Hospital - Jeddah ‫ ﺟﺪﺓ‬- ‫ﺍﻻﻃﺒﺎﺀ ﺍﻟﻤﺘﺤﺪﻭﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Bawadi Jeddah Clinc - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺑﻮﺍﺩﻱ ﺟﺪﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Safaclinic - Jeddah (K 13 ) ‫ ﺟﺪﺓ ) ﻛﻴﻠﻮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺼﻔﺎ‬13 ) Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sulimanyah Clinc - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻠﻴﻤﺎﻧﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Heraa Clinic -Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺣﺮﺍﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Khalid Idriss Hospital & Co. - Jee ‫ ﺟﺪﺓ ﻣﺴﺘﺸﻔﻰ‬- ‫ ﺧﺎﻟﺪ ﺍﺩﺭﻳﺲ‬.‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Abeer Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﺒﻴﺮ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sameera Polyclinic - Jeddah ‫ﻣﺴﺘﻮﺻﻒ ﺳﻤﻴﺮﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Hospital - Eye, Ent, Dental (‫ﻭ ﺍﻟﺤﻨﺠﺮ ﻭ ﺍﻷﺫﻥ ﻣﺴﺘﺸﻔﻰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Sahly Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻬﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Optical Co. - Kingdom Wid ‫ ﺟﻤﻴﻊ ﺍﻧﺤﺎﺀ ﺍﻟﻤﻤﻠﻜﺔ‬- ‫ﻧﻈﺎﺭﺍﺕ ﺍﻟﻤﻐﺮﺑﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Elaj Medical Co. - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ﻣﺮﻛﺰ ﻋﻼﺝ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Mushrifah Medical Center - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺮﻛﺰ ﻣﺸﺮﻓﺔ ﺍﻟﻄﺒﻲ‬ Page 17 of 64

class Tel 26402773 Tel 26919566 Tel 26823331 Tel 26313683 Tel 26930919 Tel 26700086 Tel 26533333 Tel 26542022 Tel 26655009 Tel 26655009 Tel 26836651 Tel 26427688 Tel 26573001 Tel 26178573 Tel 2636500 Tel 26583379 Tel 26510655 Tel 26632770 Tel 26736287

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City JEDDAH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Khalid Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺠﻤﻊ ﺧﺎﻟﺪ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Badr Al Tamam Polyclinic - Jeedah ‫ ﺟﺪﺓ‬- ‫ﻋﻴﺎﺩﺍﺕ ﺑﺪﺭ ﺍﻟﺘﻤﺎﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Riyadah Polyclinic Co. Ltd. - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﻳﺎﺩﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Faisal Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- (3 ) ‫ﻋﻴﺎﺩﺍﺕ ﺍﻟﻔﻴﺼﻞ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Bishri Medical Group - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ﻣﺠﻤﻮﻋﺔ ﺍﻟﺒﺸﺮﻱ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Madaar Al Shefa Dental Polyclinic - J ‫ ﺟﺪﺓ( ﻋﻴﺪﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎﺀ ﻟﻸﺳﻨﺎﻥ‬- ( ‫ﺵ ﺍﻟﺘﺤﻠﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Madaar Al Shefa Dental Polyclinic - J‫ ﺟﺪ ( ﻋﻴﺎﺩﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎﺀ ﻟﻸﺳﻨﺎﻥ‬- ( ‫ﺵ ﺍﻟﺤﻤﺮﺍﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Abdullah Saim Al Dahr Hospital ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺪﻛﺘﻮﺭ ﻋﺒﺎﻟﻠﻪ ﺻﺎﺋﻢ ﺍﻟﺪﻫﺮ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Naseem Jeddah Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻧﺴﻴﻢ ﺟﺪﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ New Jeddani Hospital-Ghulail - Jedda ‫ ﺟﺪﺓ‬- ‫ ﺣﻲ ﻏﻠﻴﻞ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺠﺪﻋﺎﻧﻲ ﺍﻟﺠﺪﻳﺪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Sameria Specialized Polyclinic Jed ‫ ﺟﺪﺓ‬- ‫ﻋﻴﺎﺩﺍﺕ ﺍﻟﺴﺎﻣﺮﻳﺔ ﺍﻟﺘﺨﺼﺼﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Shifa Jeddah Polyclinic & Diagnostic ‫ ﺟﺪﺓ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﻔﺎﺀ ﺟﺪﺓ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Hani Ragaban Polyclinic - Jedda ‫ ﺟﺪﺓ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ‬- ‫ ﻫﺎﻧﻲ ﺭﻗﺒﺎﻥ ﺍﻟﻄﺒﻴﺔ‬.‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Gulf Atheer Clinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺃﺛﻴﺮ ﺍﻟﺨﻠﻴﺞ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Alshifa Polyclinic (1) Hai Albawadi ‫ ﺟﺪﺓ‬- ‫( ﺣﻲ ﺍﻟﺒﻮﺍﺩﻱ‬1) ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﻔﺎﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Alshifa Polyclinic (2) Hai Aljamea - J ‫ ﺟﺪﺓ‬- ‫( ﺣﻲ ﺍﻟﺠﺎﻣﻌﺔ‬2) ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﻔﺎﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Quds Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻘﺪﺱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Saudi Hospital-Jeddah ‫ ﺟﺪﺓ‬- ‫ﺍﻟﻤﺴﺘﺸﻔﻰ ﺍﻟﺴﻌﻮﺩﻱ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Madina Medical Clinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻄﺒﻲ‬ Page 18 of 64

class Tel 22722222 Tel 26452884 Tel 22721111 Tel 26318944 Tel 22652999 Tel 26654646 Tel 22841818 Tel 26754444 Tel 22815570 Tel 2 Tel 26283333 Tel 26533636 Tel 26946807 Tel 26803772 Tel 26977075 Tel 26880888 Tel 26970224 Tel 26711831 Tel 26881288

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City JEDDAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al-Zafer Polyclinic-Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻈﺎﻓﺮ ﺍﻟﻄﺒﻲ‬26407339 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Hamra Dental Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻤﺮﺍﺀ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬26655588 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Salamatak Dental Polyclinic-Madaen‫ ﻣﺴﺘﻮﺻﻒ ﺳﻼﻣﺘﻚ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ﺣﻲ ﻣﺪﺍﺋﻦ ﺍﻟﻔﻬﺪ‬6890944 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Salamatak Dental Polyclinic - Al Saf ‫ ﻣﺴﺘﻮﺻﻒ ﺳﻼﻣﺘﻚ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ﺣﻲ ﺍﻟﺼﻔﺎ‬6932500 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Hiba Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻬﻴﺒﺔ ﺍﻟﻄﺒﻲ‬26500089 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr Hassan Ghazzawi Hospital - Jedda ‫ ﺟﺪﺓ ﻣﺴﺘﺸﻔﻰ‬- ‫ ﺣﺴﺎﻥ ﺃﻣﻴﻦ ﻏﺰﺍﻭﻱ‬.‫ ﺩ‬26636333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Alnahdi Medical Company - Pharmac ‫ﺻﻴﺪﻟﻴﺎﺕ ﺍﻟﻨﻬﺪﻱ‬ 0 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Eed Clinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻋﻴﺪ ﻛﻠﻴﻨﻚ‬126398858 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Nihad Islam Medical Clinic - Jedd ‫ ﺟﺪﺓ ﻋﻴﺎﺩﺍﺕ ﻭﺟﺮﺍﺣﺎﺕ‬- ‫ ﻧﻬﺎﺩ ﺇﺳﻼﻡ‬.‫ ﺩ‬26077700 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dentalia Clinics (The Modern Concep‫ ﺟﺪﺓ‬- ( ‫ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﻤﺘﻄﻮﺭﺓ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ) ﺩﻧﺘﺎﻟﻴﺎ‬22840444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Enayati Medical Center - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻃﺒﻲ ﻋﺎﻡ ﻋﻨﺎﻳﺘﻲ ﺍﻟﻄﺒﻲ‬26190606 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Wesam Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻮﺳﺎﻡ ﺍﻟﻄﺒﻲ‬26368321 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Balsam Al Sitteen Polyclinic - Jedda ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﺑﻠﺴﻢ ﺍﻟﺘﺴﻴﻦ ﺍﻟﻄﺒﻲ‬26395444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Khalid Polyclinic-Rawaby - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﺍﻟﺮﻭﺍﺑﻲ‬- ‫ ﻣﺠﻤﻊ ﺧﺎﻟﺪ ﺍﻟﻄﺒﻲ‬26204484 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Int. Medical Center - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﺍﻟﻤﺮﻛﺰ ﺍﻟﻄﺒﻲ ﺍﻟﺪﻭﻟﻲ‬26509000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Nahda Polyclinic ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻨﻬﻀﺔ ﺍﻟﻄﺒﻲ‬26205940 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Yasmin Polyclinc - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻴﺎﺳﻤﻴﻦ‬26244091 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Shifa Al Bawadi Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﺷﻔﺎﺀ ﺍﻟﺒﻮﺍﺩﻱ ﺍﻟﻄﺒﻲ‬26625259 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel New Sidrah Medical Center - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﺳﺪﺭﺓ ﺍﻟﻄﺒﻲ ﺍﻟﺠﺪﻳﺪ‬26500065 Page 19 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City JEDDAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel General Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﺍﻟﻤﺠﻤﻊ ﺍﻟﻄﺒﻲ ﺍﻟﻌﺎﻡ‬26974309 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Jeddah National Hospital - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺟﺪﺓ ﺍﻻﻫﻠﻲ‬26710040 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Themairy Polyclinic-Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺜﻤﻴﺮﻱ ﺍﻻﻫﻠﻲ‬26754555 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Zafer 2 Medical Center - Al Safa - ‫ ﺟﺪﺓ‬- ‫ ﺣﻲ ﺍﻟﺼﻔﺎ‬- 2 - ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻈﺎﻓﺮ ﺍﻟﻄﺒﻲ‬26799747 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Manarat Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﻨﺎﺭﺍﺕ‬22870607 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Jawhara Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺠﻮﻫﺮﺓ ﺍﻟﻄﺒﻲ‬26551851 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Safa Al Bawadi Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺻﻔﺎ ﺍﻟﺒﻮﺍﺩﻱ‬26625536 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Radaddi Clinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺮﺩﺍﺩﻱ‬26141412 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Noor Polyclinic - Jed ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻨﻮﺭ‬26305555 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Gadeer Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻐﺪﻳﺮ‬26722535 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Sharq Polyclinic (2) - Jeddah ‫ ﺟﺪﺓ‬- 2 ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﺮﻕ‬26600046 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ro'Yah Al Takhassosiah Polyclinic ‫ ﺷﺎﺭﻉ ﺍﻻﻣﻴﺮ ﻣﺎﺟﺪ‬- ‫ ﺣﻲ ﺍﻟﺮﺑﻮﺓ‬22561416 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ansar New Polyclinic - Al Nuzha ‫ ﺟﺪﺓ‬- ‫ ﺍﻟﻨﺰﻫﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻻﻧﺼﺎﺭ ﺍﻟﺤﺪﻳﺚ‬26050666 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Badruddin Medical Group ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻮﻋﺔ ﺑﺪﺭ ﺍﻟﺪﻳﻦ ﺍﻟﻄﺒﻴﺔ‬6611909 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Star Care Medical Center- Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺳﺘﺎﺭ ﻛﻴﺮ ﺍﻟﻄﺒﻲ‬22841156 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Hiba Asia Polyclinic - Rawabi - Jedda ‫ ﺟﺪﺓ‬- ‫ ﺍﻟﺮﻭﺍﺑﻲ‬- ‫ ﻣﺠﻤﻊ ﻫﺒﺔ ﺁﺳﻴﺎ ﺍﻟﻄﺒﻲ‬26338359 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel The First Clinic -Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻷﻭﻟﻰ ﺍﻟﺤﺪﻳﺜﺔ‬920029090 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Blue Coral Dental Clinics Group - Jed ‫ ﺟﺪ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺮﺟﺎﻥ ﺍﻻﺯﺭﻕ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬26897888 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Pearl Dental Center - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺮﻛﺰ ﺍﻟﻠﺆﻟﺆﺓ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬26073030 Page 20 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City JEDDAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Rami Hassaneine Dental Implant‫ ﺭﺍﻣﻲ ﺣﺴﻨﻴﻦ ﻟﻄﺐ ﻭﺯﺭﺍﻋﺔ ﺍﻝ ﻣﺠﻤﻊ ﻣﺘﺨﺼﺺ‬.‫ ﺩ‬22560050 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Mustashrk Medical Center - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻃﺒﻲ ﻋﺎﻡ ﻣﺴﺘﺸﺎﺭﻙ ﺍﻟﻄﺒﻲ‬22220000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Halah Essa Binladen Hospital - Je ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﻫﺎﻟﻪ ﻋﻴﺴﻰ ﺑﻦ ﻻﺩﻥ‬126603332 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Taj Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺘﺎﺝ‬26371524 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Abuzinadah Hospital - Jeedah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﺑﻮﺯﻧﺎﺩﺓ‬26510652 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saudi Dental Center - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﺍﻟﻤﺮﻛﺰ ﺍﻟﺴﻌﻮﺩﻱ ﻟﻼﺳﻨﺎﻥ‬26518556 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Aqsa Medical Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﻗﺼﻰ‬26541229 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Gari Medical Center - Jeddah ‫ ﺟﺪﺓ ﻣﺮﻛﺰ‬- ‫ ﻋﺒﺪﺍﻟﺮﺣﻴﻢ ﺗﻮﺭﺍﻥ ﻗﺎﺭﺉ ﺍﻟﻄﺒﻲ‬/‫ ﺩ‬22632099 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Tebabat Jeddah Polyclinics - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﻃﺒﺎﺑﺔ ﺟﺪﺓ‬26829522 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ibn Sina Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺇﺑﻦ ﺳﻴﻨﺎ ﺍﻟﻄﺒﻲ‬26721958 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Balghsoon Polyclinic - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﻠﻐﺼﻮﻥ‬26327100 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Rahily Polyclinic - Jed ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺮﺣﻴﻠﻲ‬22063825 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel New Gulail Polyclinic - Jed ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻏﻠﻴﻞ ﺍﻟﺠﺪﻳﺪ‬26378073 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Stars Smile Dental Polyclinic - Jed ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﺑﺘﺴﺎﻣﺔ ﺍﻟﻨﺠﻮﻡ ﻟﻄﺐ ﻭﺗﺠﻤﻴﻞ ﺍﻻﺱ‬26645554 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Rimas Dental Clinic - Jed ‫ ﺟﺪﺓ‬- ‫ ﻋﻴﺎﺩﺓ ﺭﻳﻤﺎﺱ ﺍﻟﻤﻤﻴﺰﺓ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬26652032 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Raqun Medical Center - Jed ‫ ﺟﺪﺓ‬- ‫ ﻣﺮﻛﺰ ﺍﻟﺮﺍﻗﻮﻥ ﺍﻟﻤﻤﻴﺰ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻟﻄﺒﻴﺔ‬26143630 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Veneer Dental Center - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺠﻤﻊ ﻣﺘﺨﺼﺺ ﻓﻴﻨﻴﺮ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬26929393 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Madaar Al Raky Dental Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺪﺍﺭ ﺍﻟﺮﺍﻗﻲ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬26553999 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Salam Polyclinic - Jed ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻼﻡ ﺍﻟﻄﺒﻲ‬26976014 Page 21 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City JEDDAH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Shifa Al Munthaza Polyclinc ‫ﻣﺠﻤﻊ ﺷﻔﺎﺀ ﺍﻟﻤﻨﺘﺰﻩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Talal Qutub Medical Center ‫ﻣﺮﻛﺰ ﺍﻟﺪﻛﺘﻮﺭ ﻃﻼﻝ ﻗﻄﺐ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Rafah Medical Center ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺻﻼﺡ ﻋﺜﻤﺎﻥ ﻣﺮﺗﻀﻰ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Eye 2 Eye Optics ‫ﺍﻟﻌﻴﻦ ﻟﻠﻌﻴﻦ ﻟﻠﻨﻈﺎﺭﺍﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Tababah Medical Specialized Cent ‫ﻣﺮﻛﺰ ﺍﻟﻄﺒﺎﺑﺔ ﻟﻠﺘﺨﺼﺼﺎﺕ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mowj Polyclinic ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﻮﺝ ﺍﻟﺘﺨﺼﺼﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Baraka Medical Center ‫ﻣﺮﻛﺰ ﺍﻟﺒﺮﻛﺔ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Bugshan Vision ‫ﻧﻈﺎﺭﺍﺕ ﺑﻘﺸﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Majd Policlinic ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺠﺪ ﺍﻟﺘﺨﺼﺼﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Halah Essa Binladen Policlinic - Jedd ‫ﻣﺴﺘﻮﺻﻒ ﻫﺎﻟﺔ ﻋﻴﺴﻰ ﺑﻦ ﻻﺩﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Bugshan General Hospital - Jeedah ‫ ﺟﺪﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺑﻘﺸﺎﻥ ﺍﻟﻌﺎﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Center - Eye ,Ent, Dental (Je ‫( ﻭ ﺍﻟﺤﻨﺠﺮﺓ ﻭ ﺍﻷﺫﻥ ﻣﺮﻛﺰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Eye Center (North Jeddah) ‫) ﻣﺮﻛﺰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ) ﺷﻤﺎﻝ ﺟﺪﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Dental Center (Alsalama Dis ‫)ﻣﺮﻛﺰ ﻣﻐﺮﺑﻰ ﻟﻼﺳﻨﺎﻥ )ﺍﻟﺴﻼﻣﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Center - Dental (Jeddah) ‫ﻃﺮﻳﻖ ﺍﻟﻤﺪﻳﻨﺔ‬/( ‫ﻣﺮﻛﺰ ﻣﻐﺮﺑﻲ ﻟﻸﺳﻨﺎﻥ ) ﺟﺪﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Hadeer Polyclinic ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻬﺪﻳﺮ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Badr Al Faraj Speciality Dental Clini ‫ﻋﻴﺎﺩﺍﺕ ﺑﺪﺭ ﺍﻟﻔﺮﺍﺝ ﺍﻟﺘﺨﺼﺼﻴﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ New Family Policlinic ‫ﻋﻴﺎﺩﺍﺕ ﺍﻷﺳﺮﺓ ﺍﻟﺠﺪﻳﺪﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Joman Dental Specialty Clinics ‫ﻋﻴﺎﺩﺍﺕ ﺍﻟﺠﻤﺎﻥ ﺍﻟﻤﺘﻄﻮﺭﺓ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Page 22 of 64

class Tel 22620501 Tel 26939222 Tel 26041905 Tel 26221663 Tel 26602255 Tel 26947780 Tel 6030788 Tel 6670921 Tel 6572228 Tel 26722315 Tel 26691222 Tel 26365000 Tel 26365000 Tel 26365000 Tel 26365000 Tel 6884796 Tel 6178573 Tel 6323335 Tel 6644393

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City JEDDAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Bny Malik Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﺑﻨﻲ ﻣﺎﻟﻚ‬6700768 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Samer Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﺎﻣﺮ‬6796559 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Quwezah Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﻗﻮﻳﺰﺓ ﺍﻷﻫﻠﻲ‬6655009 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Amal Polyclinic - Jeddah ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﻣﻞ‬6360900 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Oral Dental Clinics ‫ ﻣﺮﻛﺰ ﺃﻭﺭﺍﻝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬26682020 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr.Adil Turki Polyclinic ‫ ﺩ ﻋﺎﺩﻝ ﻋﻠﻲ ﺍﺳﻤﺎﻋﻴﻞ ﺗﺮﻛﻲ ﻋﻴﺎﺩﺍﺕ‬6676033 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Bashawri Opticals - Jeddah ‫ ﺍﻟﺒﺸﺎﻭﺭﻱ ﻟﻠﺒﺼﺮﻳﺎﺕ‬6979751 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Basmah Medical Center ‫ ﺷﺮﻛﺔ ﺍﻟﺒﺴﻤﺔ ﺍﻟﻄﺒﻴﺔ ﺍﻟﻤﺤﺪﻭﺩﺓ‬6397171 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Watanak Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻭﻃﻨﻚ‬2655500 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Alpha Optical ‫ ﺃﻟﻔﺎ ﻟﻠﺒﺼﺮﻳﺎﺕ‬6776746 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Safaa Pioneer Clinic ‫ ﺟﺪ‬- ‫ ﺷﺮﻛﺔ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺼﻔﺎ ﺍﻟﺮﺍﺋﺪﺓ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻟﻄﺒﻴﺔ‬26228600 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Colored Vision Optical - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﺭﺅﻯ ﻣﻠﻮﻧﺔ ﻟﻠﻨﻈﺎﺭﺍﺕ‬26700586 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Zafer Hospital - Jeddah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻈﺎﻓﺮ‬6256666 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Hijrah Medical Center ‫ ﻣﺠﻤﻊ ﻣﺮﻛﺰ ﺍﻟﻬﺠﺮﺓ ﺍﻟﻄﺒﻲ‬126216040 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Shiffa International Medical ‫ ﻣﺠﻤﻊ ﺷﻔﺎﺀ ﺍﻟﺪﻭﻟﻲ‬26785888 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Naseem Jeddah Hospital ‫ ﻣﺴﺘﺸﻔﻰ ﻧﺴﻴﻢ ﺟﺪﺓ‬2674211 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Munir Harasani Dental Clinics - J ‫ ﻣﻨﻴﺮ ﺣﺎﻣﺪ ﻫﺮﺳﺎﻧﻲ ﺍﻟﻤﺠﻤﻌﺔ ﻟﻸﺳﻨﺎﻥ ﻋﻴﺎﺩﺍﺕ‬.‫ ﺩ‬920012355 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ibn Sina National College Hospital ‫ ﻣﺴﺘﺸﻔﻰ ﻛﻠﻴﺔ ﺍﺑﻦ ﺳﻴﻨﺎﺀ ﻟﻠﻌﻠﻮﻡ ﺍﻟﻄﺒﻴﺔ‬26355566 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Nowras Dental Speciality Clinics ‫ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻨﻮﺭﺱ ﺍﻟﻤﺘﺨﺼﺼﺔ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬26068182 Page 23 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Provider Name Medical Experts Center -Jeddah Provider Name The Eye Consultants - Jeddah Provider Name Al Faisal Polyclinic (2) -Jeddah Provider Name Andalusiah Dental Center1 Provider Name Al Samria Medical Center Provider Name Al Nahdi Medical Company Pharmac Provider Name Dar Al Shifa Saudi Hospital - Jeedah Provider Name Dr.Soliman Fakeeh Hospital - Jedda Provider Name Al Mostaqbal Hospital - Jeddah Provider Name Saudi German Hospital - Jeddah Provider Name Bakhsh Hospital - Jeedah Provider Name New Jeddah Clinic Hospital - Jedda Provider Name Dr.Erfan & Bagedo Gen.Hospital - Je Provider Name Gnp Hospital - Jeddah Provider Name Jeddah Clinic Hospital - Jeddah Provider Name Al Hamra Hospital - Jeedah Provider Name Andalusia Dental Center City Provider Name Samta Natl Clinic - Jizan Provider Name Nasir Dheifallah Merae Dispensary -

JEDDAH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ‬- ‫ ﻣﺮﻛﺰ ﺧﺒﺮﺍﺀ ﺍﻟﺮﻋﺎﻳﺔ ﺍﻟﻄﺒﻴﺔ‬26100040 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ‬- ‫ ﺍﻻﺳﺘﺸﺎﺭﻳﻮﻥ ﻟﻄﺐ ﺍﻟﻌﻴﻮﻥ‬26686161 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ‬- (2) ‫ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻔﻴﺼﻞ‬126120999 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺮﻛﺰ ﺃﻧﺪﻟﺴﻴﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬1 6702777 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺠﻤﻊ ﺍﻟﺴﺎﻣﺮﻳﺔ ﺍﻟﻄﺒﻲ‬2 126402827 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺷﺮﻛﺔ ﺍﻟﻨﻬﺪﻱ ﺍﻟﻄﺒﻴﺔ‬126576464 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺩﺍﺭ ﺍﻟﺸﻔﺎﺀ‬26479666 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ ﻣﺴﺘﺸﻔﻰ‬- ‫ ﺳﻠﻴﻤﺎﻥ ﻓﻘﻴﻪ‬.‫ ﺩ‬26655000 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﺴﺘﻘﺒﻞ‬26875255 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ‬- ‫ ﺍﻟﻤﺴﺘﺸﻔﻰ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻻﻟﻤﺎﻧﻲ‬26829000 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺪﻛﺘﻮﺭ ﻋﺒﺪﺍﻟﺮﺣﻤﻦ ﺑﺨﺶ‬26510555 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺟﺪﺓ ﺍﻟﻮﻃﻨﻲ ﺍﻟﺠﺪﻳﺪ‬26675000 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ ﻭ ﻣﺴﺘﺸﻔﻰ ﺑﺎﻗﺪﻭ‬- ‫ ﻋﺮﻓﺎﻥ‬.‫ ﺩ‬26820022 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ ﻣﺴﺘﺸﻔﻰ‬- ‫ ﻏﺴﺎﻥ ﻧﺠﻴﺐ ﻓﺮﻋﻮﻥ‬.‫ ﺩ‬26823200 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺟﺪﺓ ﺍﻟﻮﻃﻨﻲ‬26313131 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺤﻤﺮﺍﺀ‬26610811 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺮﻛﺰ ﺃﻧﺪﻟﺴﻴﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬26702777 JIZAN class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﻴﺰﺍﻥ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺻﺎﻣﻄﻪ ﺍﻷﻫﻠﻲ‬73322187 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﻴﺰﺍﻥ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻧﺎﺻﺮ ﻣﺮﻳﻊ‬73173725 Page 24 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y VIP Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City JIZAN Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Saleh Shakeeli Al Alawi Medical Com ‫ﻣﺠﻤﻊ ﺻﺎﻟﺢ ﺍﻟﻌﻠﻮﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Salamah Polyclinic - Jizan ‫ ﺟﻴﺰﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻼﻣﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Aboareesh Dispensary ‫ﻣﺴﺘﻮﺻﻒ ﺍﺑﻮﻋﺮﻳﺶ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dar Al-Shefa Clinic - Baish - Jizan ‫ ﺟﺎﺯﺍﻥ‬/ ‫ ﺑﻴﺶ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺩﺍﺭ ﺍﻟﺸﻔﺎﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Gnp Polyclinic - Jizan ‫ ﺟﻴﺰﺍﻥ ﻣﺴﺘﻮﺻﻒ‬- ‫ ﻏﺴﺎﻥ ﻧﺠﻴﺐ ﻓﺮﻋﻮﻥ‬.‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ali Khamaj Clinic - Jizan ‫ ﺟﻴﺰﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻋﻠﻲ ﺧﻤﺞ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Baashen Med. Dispensary - Jizan ‫ ﺟﻴﺰﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺑﺎﻋﺸﻦ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ El Emeis Polyclinic - Jizan ‫ ﺟﻴﺰﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﻤﻴﺲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Jrrash Medical Dispensary - Jizan ‫ ﺟﻴﺰﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺟﺮﺍﺵ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Jazan Medical Center - Jizan ‫ ﺟﻴﺰﺍﻥ‬- ‫ﻣﺠﻤﻊ ﺟﻴﺰﺍﻥ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Alhakamy Polyclinic - Jizan ‫ ﺟﻴﺰﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻜﻤﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Salam Dispensary - Jizan ‫ ﺟﻴﺰﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻼﻡ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Haramain Medical Complex - Jaza ‫ ﺟﺎﺯﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﺮﻣﻴﻦ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sarh Al Tawfeeq Polyclinic - Jizan - B ‫ ﺑﻴﺶ‬- ‫ ﺟﺎﺯﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺻﺮﺡ ﺍﻟﺘﻮﻓﻴﻖ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Center - Eye,Ent(Jizan) ‫( ﻭ ﺍﻟﺤﻨﺠﺮﺓ ﻭ ﺍﻷﺫﻥ ﻣﺮﻛﺰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Hakamy Clinic ‫ﻣﺠﻤﻊ ﺍﻟﺤﻜﻤﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Hayat National Hospital-Jizan ‫ﺟﻴﺰﺍﻥ‬-‫ﻣﺴﺘﺸﻔﻲ ﺍﻟﺤﻴﺎﻩ ﺍﻟﻮﻃﻨﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Safwa Dental Clinic - Jazan ‫ﻣﺠﻤﻊ ﺍﻟﺼﻔﻮﺓ ﻟﻄﺐ ﺍﻷﺷﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Mishal Medical Polyclinic ‫ﻣﺠﻤﻊ ﻣﺸﻌﻞ ﺍﻟﻄﺒﻲ‬ Page 25 of 64

class Tel 734111171 Tel 73250163 Tel 73251253 Tel 73420552 Tel 73175010 Tel 73220990 Tel 73274619 Tel 73223136 Tel 73244100 Tel 732333333 Tel 73193200 Tel 73320007 Tel 73172222 Tel 73425014 Tel 72355555 Tel 173243333 Tel 173311111 Tel 173222777 Tel 3266611

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City JIZAN Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Jizan National Clinic - Jizan ‫ ﺟﻴﺰﺍﻥ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺣﻴﺰﺍﻥ ﺍﻻﻫﻠﻲ‬ City JUBAIL Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Jubail National Dispensary - Jubail ‫ ﺟﺒﻴﻞ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺠﺒﻴﻞ ﺍﻟﻮﻃﻨﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mana General Hospital - Jubail ‫ ﺍﻟﺠﺒﻴﻞ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﺎﻧﻊ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Lulu Medical Complex - Jubail ‫ ﺍﻟﺠﺒﻴﻞ‬- ‫ﻣﺠﻤﻊ ﺍﻟﻠﺆﻟﺆ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Mohammed S. Al-Khonaini Medical S‫ ﺍﻝ‬- ‫ﻣﺠﻤﻊ ﻣﺤﻤﺪ ﺳﻠﻴﻤﺎﻥ ﺍﻟﺨﻨﻴﻨﻲ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Mouwasat Hospital - Jubail ‫ ﺍﻟﺠﺒﻴﻞ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﻮﺍﺳﺎﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dina Medical Service - Jubail ‫ ﺍﻟﺠﺒﻴﻞ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺩﻳﻨﺎ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Shifa Al Jubail Medical Center - Juba ‫ ﺍﻟﺠﺒﻴﻞ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﻔﺎﺀ ﺍﻟﺠﺒﻴﻞ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sun Citys Kims Medical Center - Jub ‫ ﺍﻟﺠﺒﻴﻞ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺷﻤﺲ ﺍﻟﻤﺪﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Naba Dispensary For Medical Serv ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻨﺒﺄ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mana Medical Center Al Jubail ‫ ﺍﻟﺠﺒﻴﻞ‬- ‫ﻣﺠﻤﻊ ﺍﻟﻤﺎﻧﻊ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Wadi Ram Dental Care ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻭﺍﺩﻱ ﺭﺍﻡ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Gulf Asian Medical Center ‫ﻣﺠﻤﻊ ﺍﻟﺨﻠﻴﺞ ﺍﻻﺳﻴﻮﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Arrazi Clinics - Jubail ‫ ﺍﻟﺠﺒﻴﻞ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺮﺍﺯﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ibn Sena Dental Center-Jubail ‫ ﺍﻟﺠﺒﻴﻞ‬- ‫ﻣﺮﻛﺰ ﺍﺑﻦ ﺳﻴﻨﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ibn Sena Dental Center-Jubail Senaiy ‫ ﺍﻟﺠﺒﻴﻞ ﺍﻟﺼﻨﺎﻋﻴﺔ‬- ‫ﻣﺮﻛﺰ ﺍﺑﻦ ﺳﻴﻨﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Salim M. Al Buainain Opticals ‫ﻣﺆﺳﺴﺔ ﺳﺎﻟﻢ ﺍﻟﺒﻮﻋﻴﻨﻴﻦ ﻟﻠﺒﺼﺮﻳﺎﺕ‬ City KHAFJI Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Khafji National Hospital - Al Khaf ‫ ﺍﻟﺨﻔﺠﻲ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺨﻔﺠﻲ ﺍﻷﻫﻠﻲ‬ Page 26 of 64

class Tel 73220703 class Tel 33620385 Tel 33412000 Tel 33485555 Tel 33410110 Tel 33490000 Tel 33611993 Tel 33611777 Tel 33620039 Tel 3451111 Tel 33495555 Tel 133472323 Tel 133627121 Tel 133627373 Tel 3613462 Tel 133463819 Tel 133630028 class Tel 37661111

VIP Y VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y VIP Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City KHAFJI class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dental Center Co. - Al Khafji ‫ ﺍﻟﺨﻔﺠﻲ‬- ‫ ﻣﺮﻛﺰ ﺍﻷﺳﻨﺎﻥ‬37660075 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Khafji Specialized Medical Cente ‫ ﻣﺠﻤﻊ ﺍﻟﺨﻔﺠﻲ ﺍﻟﺘﺨﺼﺼﻲ ﻟﻠﻌﻴﺎﺩﺍﺕ ﺍﻟﻄﺒﻴﺔ‬37663666 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Manar Medical Polyclinic-Khafji ‫ ﺍﻟﺨﻔﺠﻲ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﻨﺎﺭ ﺍﻟﻄﺒﻴﺔ‬37666565 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Arrak Dental Complex - Al Khafji ‫ ﺍﻟﺨﻔﺠﻲ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻻﺭﺍﻙ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬37674747 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Rahma Medical Complex ‫ ﺍﻟﺨﻔﺠﻲ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺮﺣﻤﺔ ﺍﻟﻄﺒﻲ‬7664499 City KHAMIS MUSHAIT class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saudi German Hospital - Khamis Mu ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬- ‫ ﺍﻟﻤﺴﺘﺸﻔﻰ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻻﻟﻤﺎﻧﻲ‬72355000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Almozher Dental Polyclinic - Abh ‫ ﺍﺑﻬﺎ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺰﻫﺮ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬72211909 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Magrabi Hospital - Eye, Ent , Dental ‫ ﻭ ﺍﻟﺤﻨﺠﺮ ﻭ ﺍﻷﺫﻥ ﻣﺴﺘﺸﻔﻰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬72222029 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Themal Medical Center - Khamis M ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺜﻤﺎﻝ ﺍﻟﻄﺒﻲ‬72226666 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Hayat National Hospital-K. Musha ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺤﻴﺎﺓ ﺍﻟﻮﻃﻨﻲ‬72334444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Madaar Al Shefa Dental Polyclinic - ‫ﻡ‬K‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ) ﺧﻤﻴﺲ‬72358888 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Wasni Medical Complex - Khamis Mu ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻭﺍﺳﻨﻲ ﺍﻟﻄﺒﻲ‬72471000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Family Health Polyclinic - Khamis M ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﺎﺋﻠﺔ ﺍﻟﺼﺤﻲ‬72251199 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Husam Polyclinic - K Mushayt ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﺴﺎﻡ ﺍﻟﻄﺒﻲ‬72359414 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Razi Clinic - Khamis Mushait ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﺍﺯﻱ‬72220700 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Shamil Family Polyclinic - Khamis ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﺳﺮﺓ ﺍﻟﺸﺎﻣﻞ‬72219794 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Emeis Polyclinic (Khamis Mushit ‫ ) ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﻤﻴﺲ ) ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬5201733 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Khalidiya Medical Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺨﺎﻟﺪﻳﺔ ﺍﻟﻄﺒﻲ‬172214301 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Calcium Medical Center ‫ ﻣﺠﻤﻊ ﻛﺎﻟﺴﻴﻮﻡ ﺍﻟﻄﺒﻲ‬172604000 Page 27 of 64

VIP Y Y Y Y Y VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City KHAMIS MUSHAIT Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Nomais Medical Complex - Khami ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻨﻤﻴﺺ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Mustasharak Hospital ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬- ‫ﻣﺴﺘﺸﻔﻰ ﻣﺴﺘﺸﺎﺭﻙ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al-Nomais Medical Complex - Wadi B ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻨﻤﻴﺺ ﺍﻟﻄﺒﻴﺔ ﺑﻮﺍﺩﻱ ﺑﻦ ﻫﺸﺒﻞ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Haramain Medical Complex ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺤﺮﻣﻴﻦ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Gnp Hospital - Khamis Mushait ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ ﻣﺴﺘﺸﻔﻰ‬- ‫ ﻏﺴﺎﻥ ﻧﺠﻴﺐ ﻓﺮﻋﻮﻥ‬.‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Ahli Hospital - Khamis Mushait ‫ ﺧﻤﻴﺲ ﻣﺸﻴﻂ‬- ‫ﺍﻟﻤﺴﺘﺸﻔﻰ ﺍﻷﻫﻠﻲ‬ City KHARJ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dar Al Shoaba Dispensaary - Al Khar ‫ ﺍﻟﺨﺮﺝ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﺍﺭ ﺍﻟﺸﻌﺒﺔ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Dosary Medical Polyclinic - Al Kha ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺪﻭﺳﺮﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Madaar Al Shefa Dental Polyclinic-K ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ) ﺍﻟﺨﺮﺝ‬ City MADINA Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al-Rahma Hospital - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺮﺣﻤﻪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Dar Polyclinic - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺪﺍﺭ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Bakkari Polyclinic - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ﻋﻴﺎﺩﺍﺕ ﺍﻟﺒﻜﺎﺭﻱ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mouwasat Medical Serv. Co. - Mad ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﻮﺍﺳﺎﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Al Ogaly Polyclinic - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ﻋﻴﺎﺩﺍﺕ ﺍﻟﻌﻘﺎﻟﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Seha Polyclinic - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺻﺤﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Wahat Al Shifa Medical Complex - M ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻭﺍﺣﺔ ﺍﻟﺸﻔﺎﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Hamid Al-Ahmadi Hospital - Mad‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺪﻛﺘﻮﺭ ﺣﺎﻣﺪ ﺍﻷﺣﻤﺪﻱ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Center - Eye, Ent ( Madinah‫( ﻭ ﺍﻟﺤﻨﺠﺮﺓ ﻭ ﺍﻷﺫﻥ ﻣﺮﻛﺰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬ Page 28 of 64

class Tel 172231999 Tel 172200006 Tel 172641616 Tel 172220226 Tel 72200002 Tel 72237705 class Tel 15488866 Tel 15482039 Tel 15486262 class Tel 48272777 Tel 48361672 Tel 48344438 Tel 48422211 Tel 48270107 Tel 48462663 Tel 48288177 Tel 48363332 Tel 48421116

VIP Y Y Y Y Y Y VIP Y Y Y VIP Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City MADINA class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saudi German Hospital - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ ﺍﻟﻤﺴﺘﺸﻘﻰ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻷﻟﻤﺎﻧﻲ‬48406000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Safa Almadina Hospital - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺻﻔﺎ ﺍﻟﻤﺪﻳﻨﻪ‬48280000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Dar Private Dispensary - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺪﺍﺭ ﺍﻟﺨﺎﺹ‬48235390 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Madaar Al Shefa Dental Polyclinic - M ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎﺀ ﻟﻸﺳﻨﺎﻥ‬48467333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Zahraa Hospital - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺰﻫﺮﺍﺀ ﺍﻟﺨﺎﺹ‬48488808 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saudi National Clinic ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﻮﻃﻨﻲ ﺍﻟﺴﻌﻮﺩﻱ‬48220558 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Dar Hospital - Qibaa - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ ﻗﺒﺎﺀ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺪﺍﺭ‬48677777 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Consultative Dental Clinic - Madina‫ ﺍﻟﻤﺪﻳﻨﺔ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻹﺳﺘﺸﺎﺭﻳﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬48252222 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Andalus Dental - Madina ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﻧﺪﻟﺲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬148151444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Rouya Optical - Madinah ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ ﻣﺮﺍﻛﺰ ﺭﺅﻳﺎ ﻟﻠﺒﺼﺮﻳﺎﺕ‬48303465 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Rai Al Ain Optical - Madinah ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ ﻣﺮﺍﻛﺰ ﺭﺃﻱ ﺍﻟﻌﻴﻦ ﻟﻠﺒﺼﺮﻳﺎﺕ‬48240372 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Atebba Al Madinah Polyclinic - Madi ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻃﺒﺎﺀ ﺍﻟﻤﺪﻳﻨﺔ‬48372313 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Weqayah Medical Center -Madinah ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺮﻛﺰ ﻭﻗﺎﻳﺔ ﺍﻟﻄﺒﻲ‬48313999 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Bashawri Opticals - Madinah ‫ ﺍﻟﻤﺪﻱ‬- ‫ ﻣﺤﻞ ﻧﻈﺎﺭﺍﺕ ﻋﺎﺻﻢ ﻋﺒﺪﺍﻟﺼﻤﺪ ﺍﻟﺒﺸﺎﻭﺭﻱ‬148229577 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Basmat Farabi Dental Poly Clinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﺴﻤﺔ ﺍﻟﻔﺎﺭﺍﺑﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬148666640 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Madina National Hospital Co.Ltd. - M ‫ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻤﻨﻮﺭﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﺪﻳﻨﺔ ﺍﻟﻮﻃﻨﻲ‬48444444 City MAHAIL class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Amal Private Clinic - Mahail Asee ‫ ﻣﺤﺎﻳﻞ ﻋﺴﻴﺮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﻣﻞ‬72850614 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Regal Almaa Private ‫ ﻣﺴﺘﻮﺻﻒ ﺭﺟﺎﻝ ﺃﻟﻤﻊ‬72580599 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Muhayil National Hospital - Muhayli ‫ ﻣﺤﺎﻳﻞ ﻋﺴﻴﺮ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﻣﺤﺎﻳﻞ ﺍﻷﻫﻠﻲ‬72856666 Page 29 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y VIP Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City MAHAIL class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Specialist Dental Clinic - Mahail Asee ‫ ﻣﺤﺎﻳﻞ ﻋﺴﻴﺮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻃﺐ ﺍﻷﺳﻨﺎﻥ‬72263399 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Hamed Specialized Polyclinic - Maha ‫ ﻣﺤﺎﻳﻞ ﻋﺴﻴﺮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺣﺎﻣﺪ ﺍﻟﺘﺨﺼﺼﻲ‬72858555 City MAHD ATHAHAB class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Lamasat Al Nour Clinics For Dental‫ﺍﻝ‬- ‫ ﻣﻬﺪ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻟﻤﺴﺎﺕ ﺍﻟﻨﻮﺭ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬48683060 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Amal Medical Center - Mahd Al T ‫ ﻣﻬﺪ ﺍﻟﺬﻫﺐ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺕ ﺍﻷﻣﻞ ﺍﻟﻄﺒﻴﺔ‬8681372 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Lamsat Shifa Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻟﻤﺴﺎﺕ ﺷﻔﺎﺀ ﺍﻟﻄﺒﻲ‬148681899 City MAJARDAH BANI SHEHR class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Majardah National Clinic - Al Maj ‫ ﺍﻟﻤﺠﺎﺭﺩﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺠﺎﺭﺩﺓ ﺍﻷﻫﻠﻲ‬72813250 City MAJMAAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Sudair Consulting Clinics - Al Majma ‫ ﺍﻟﻤﺠﻤﻌﺔ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺳﺪﻳﺮ ﺍﻹﺳﺘﺸﺎﺭﻳﺔ‬64322444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel S. A. Alhabib Dispensary - Al Majma ‫ ﺍﻟﻤﺠﻤﻌﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻋﻠﻲ ﺍﻟﺤﺒﻴﺐ‬64323931 City MAKKAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Salam Hospital -Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺴﻼﻡ‬2577222 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Makkah Medical Polyclinic - Makka ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻣﻜﺔ ﺍﻟﻄﺒﻲ‬25440707 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Bakhsh Hospital - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺑﺨﺶ‬25222222 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Baraka Medical Clinic - Makkah ‫ ﺟﺪﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺒﺮﻛﺔ‬26710181 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Modern Medical Center - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﻄﺒﻲ ﺍﻟﺤﺪﻳﺚ‬25377955 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Saedy Medical Clinic - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﻮﺻﻔﺎﺕ ﺍﻟﺼﺎﻋﺪﻱ‬25940403 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Biladi National Clinic - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺒﻼﺩ‬25231248 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Gnp Polyclinic - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻡ ﻣﺴﺘﻮﺻﻒ‬- ‫ ﻏﺴﺎﻥ ﻧﺠﻴﺐ ﻓﺮﻋﻮﻥ‬.‫ ﺩ‬25450758 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Umm Alqura General Hospital - Mak ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻡ ﺍﻟﻘﺮﻯ ﺍﻟﻌﺎﻡ‬25376767 Page 30 of 64

VIP Y Y VIP Y Y Y VIP Y VIP Y Y VIP Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City MAKKAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Shefa Hospital - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺸﻔﺎﺀ‬25369779 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al-Hayat Medical Polyclinic Complex ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺤﻴﺎﺓ ﺍﻟﻄﺒﻴﺔ‬25454800 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Khaldiya Polyclinic - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﺎﻟﺪﻳﺔ‬25303330 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Barakat Khulais Polyclinic - .Makka ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﺮﻛﺔ ﺧﻠﻴﺺ‬22132553 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Madaar Al Shefa Dental Polyclinic - M ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎﺀ ﻟﻸﺳﻨﺎﻥ‬255433333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Asian Polyclinic - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﺳﻴﺎ ﺍﻟﻄﺒﻲ‬25380891 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Elite Medical Complex - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺼﻔﻮﺓ ﺍﻟﻄﺒﻲ‬25614001 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Medical Convention Clinic / Ali Al Ss ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻡ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻋﻠﻲ ﺍﻟﺼﺎﻋﺪﻱ ﺍﻟﻄﺒﻲ‬25436276 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Zhaer Gadeeb Alban Polyclinic -‫ ﻣﻚ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻄﺒﻴﺐ ﺯﺍﻫﺮ ﻗﻀﻴﺐ ﺍﻟﺒﺎﻥ ﺍﻟﺘﺨﺼﺼﻴﺔ‬25400004 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Zaher & Suaad Polyclinic - Makk ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻄﺒﻴﺒﺎﻥ ﺯﺍﻫﺮ ﻭﺳﻌﺎﺩ‬25795201 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Kholood Clinic - Makkah ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﻠﻮﺩ ﺍﻟﻄﺒﻲ‬25459407 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Ibrahim Al Sharif Medical Center‫ ﻣﻜﺔ ﺍﻟﻢ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ‬- ‫ ﺍﺑﺮﺍﻫﻴﻢ ﺍﻟﺸﺮﻳﻒ ﺍﻟﻄﺒﻲ‬.‫ ﺩ‬25426666 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Saad Al Marzoky Polyclinic - Mak ‫ ﻣﻚ ﻣﺴﺘﻮﺻﻒ‬- ‫ ﺳﻌﺪ ﺑﻦ ﻋﺒﺪﺍﻟﺮﺣﻤﻦ ﺍﻟﻤﺮﺯﻭﻗﻲ‬.‫ ﺩ‬25606666 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Asian Polyclinic Azizia ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﺳﻴﺎ ﺍﻟﻌﺰﻳﺰﻳﺔ ﺍﻟﻄﺒﻲ‬25500551 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Halah Essa Binladen Policlinic - Mak ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻫﺎﻟﺔ ﻋﻴﺴﻰ ﺑﻦ ﻻﺩﻥ‬25973862 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Makkah Policlinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﻜﺔ ﺍﻟﻄﺒﻴﺔ‬5496542 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Magrabi Center - Eye ,Ent, (Makkah‫ ( ﻭ ﺍﻟﺤﻨﺠﺮﺓ ﻭ ﺍﻷﺫﻥ ﻣﺮﻛﺰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬26365000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Albayt Medical Center-Makka ‫ ﻣﻜﻪ‬-‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺒﻴﺖ ﺍﻟﻄﺒﻰ‬25718400 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Saudi National Hospital ‫ ﺍﻟﻤﺴﺘﺸﻔﻰ ﺍﻷﻫﻠﻲ ﺍﻟﺴﻌﻮﺩﻱ‬5562177 Page 31 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Provider Name Al Bashawri Opticals - Mekkah Provider Name Al Badr Polyclinic Provider Name Al Muttahidoon Polyclinic Provider Name W. T. C . M. Clinic Provider Name Umm Al Qura Polyclinic Provider Name Makkah Medical Center Hospital Provider Name Shifa Al Baraka Medical Center Provider Name Al Rafie Hospital- Makkah Provider Name Muhammad S. Bashrahil Hospital - M Provider Name Alawitunsi Hospital - Makkah City Provider Name Society Med. Dispensary - Al Methna City Provider Name Al Zafer Hospital - Najran Provider Name Al Atfain Polyclinic - Najran Provider Name Al Haih Medical Center - Najran Provider Name Al Qadi Polyclinic - Najran Provider Name Al Watani M.P.C. - Najran Provider Name Al Ahli Medical Polyclinic - Dhran Al Provider Name Ebn Ankies Polyclinic - Najran

MAKKAH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺤﻞ ﺍﻟﺒﺸﺎﻭﺭﻱ ﻟﻠﻨﻈﺎﺭﺍﺕ ﺍﻟﻄﺒﻴﺔ‬5420125 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺒﺪﺭ ﺍﻟﻄﺒﻴﺔ‬3 5533771 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺘﺤﺪﻭﻥ ﺍﻟﻌﺼﺮﻳﺔ‬5233300 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺷﺮﻛﺔ ﺍﻟﻤﺠﻤﻊ ﺍﻟﻌﺎﻟﻤﻲ ﻟﻠﻌﻴﺎﺩﺍﺕ ﺍﻟﻄﺒﻴﺔ‬25591555 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻡ ﺍﻟﻘﺮﻯ ﺍﻟﻄﺒﻲ‬25423988 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺴﺘﺸﻔﻰ ﻣﺮﻛﺰ ﻣﻜﺔ ﺍﻟﻄﺒﻲ‬125222222 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﻔﺎﺀ ﺍﻟﻄﺒﻲ‬5479000 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺮﻓﻴﻊ‬25454455 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺑﺎﺷﺮﺍﺣﻴﻞ‬25204444 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﻜﺔ ﺍﻟﻤﻜﺮﻣﺔ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﻋﻠﻮﻱ ﺗﻮﻧﺴﻲ‬25587777 METHNAB class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﻤﺬﻧﺐ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺟﻤﻌﻴﺔ ﺍﻟﺒﺮ‬63422117 NAJRAN class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻈﺎﻓﺮ‬75222234 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﻄﻔﻴﻦ‬75440016 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺮﻛﺰ ﺍﻟﺤﻴﺎﺓ ﺍﻟﻄﺒﻲ‬75290888 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻘﺎﺿﻲ‬75220609 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﻮﻃﻨﻲ ﺍﻟﺤﺪﻳﺚ ﺍﻟﻄﺒﻲ‬75224705 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻇﻬﺮﺍﻥ ﺍﻟﺠﻨﻮﺏ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻷﻫﻠﻲ‬72551829 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﺑﻦ ﻋﻨﻜﻴﺺ‬75222197 Page 32 of 64

VIP Y Y Y Y Y Y Y Y Y Y VIP Y VIP Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City NAJRAN class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Gnp Polyclinic - Najran ‫ ﻧﺠﺮﺍﻥ ﻣﺴﺘﻮﺻﻒ‬- ‫ ﻏﺴﺎﻥ ﻧﺠﻴﺐ ﻓﺮﻋﻮﻥ‬.‫ ﺩ‬75225133 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ebn Seena Dental Clinic - Najran ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﺑﻦ ﺳﻴﻨﺎ ﻟﻸﺳﻨﺎﻥ‬75426100 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Qadi Polyclinic-Aba Alsaoud - Naj ‫ ﻧﺠﺮﺍ‬/ ‫ ﺍﺑﺎ ﺍﻟﺴﻌﻮﺩ‬/‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻘﺎﺿﻲ ﺍﻟﻨﻤﻮﺫﺟﻲ‬75431000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Okhdoud Medical Center - Najra ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺮﻛﺰ ﺍﻻﺧﺪﻭﺩ ﺍﻟﻄﺒﻲ‬75442000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dawaa Aljanoub Medical Clinic - Naj ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺠﻤﻊ ﺩﻭﺍﺀ ﺍﻟﺠﻨﻮﺏ‬75422075 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dawaa Al Salama Polyclinic - Najra ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺠﻤﻊ ﺩﻭﺍﺀ ﺍﻟﺴﻼﻣﺔ ﺍﻟﻄﺒﻲ‬75221080 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dento Plast Center'S - Najran ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺮﺍﻛﺰ ﺗﺠﻤﻴﻞ ﺍﻷﺳﻨﺎﻥ‬75232222 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Marzoug H. Al Qannas Dental Ce ‫ ﻣﺮﺯﻭﻕ ﺁﻝ ﻗﻨﺎﺹ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ‬.‫ ﺩ‬- 75228899 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mehthel Policlinic ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻬﺬﻝ ﺍﻟﻄﺒﻲ‬920012004 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Zain Medical Center - Najran ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺠﻤﻊ ﺯﻳﻦ‬75430303 City ONAIZA class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Salam National Polyclinc - Onaiz ‫ ﻋﻨﻴﺰﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻼﻡ‬63642085 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Barakah Polyclinic - Onaiza ‫ ﻋﻨﻴﺰﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺒﺮﻛﺔ‬63651800 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Medi.Care Polyclinic - Onaiza ‫ ﻋﻨﻴﺰﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﻋﺎﻳﺔ‬63610000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Wafa Hospital - Onaiza - ‫ ﻋﻨﻴﺰﺓ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻮﻓﺎ‬63636600 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Maali Clinic - Onaiza ‫ ﻋﻨﻴﺰﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻌﺎﻟﻲ‬636333339 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Bin Sallal Dental Clinic - Onaizah ‫ ﻋﻨﻴﺰﺓ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺑﻦ ﺻﻼﻝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬63633175 City OWAYQLYYAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ibrahim Saud Al Tayyar Partner Clin‫ ﺑﻨﺪ ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﺍﺑﺮﺍﻫﻴﻢ ﺳﻌﻮﺩ ﺍﻟﻄﻴﺎﺭ ﺑﻤﺸﺎﺭﻛﺔ‬.‫ ﺩ‬16520808 City OYAYNAH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Enjaz Medical Center ‫ ﻣﺮﻛﺰ ﺍﻻﻧﺠﺎﺯ ﺍﻟﻄﺒﻲ‬5288000 Page 33 of 64

VIP Y Y Y Y Y Y Y Y Y Y VIP Y Y Y Y Y Y VIP Y VIP Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City QAISUMA Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Gulf Care Polyclinic ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻋﻨﺎﻳﺔ ﺍﻟﺨﻠﻴﺞ ﺍﻟﻄﺒﻲ‬ City QATIF Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Medical Excellence Center - Qateef ‫ ﺍﻟﻘﻄﻴﻒ‬- ‫ﻣﺮﻛﺰ ﺍﻹﻣﺘﻴﺎﺯ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mouwasat Hospital - Qateef ‫ ﺍﻟﻘﻄﻴﻒ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﻮﺍﺳﺎﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Zahra General Hospital - Qateef ‫ ﺍﻟﻘﻄﻴﻒ‬-‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺰﻫﺮﺍﺀ ﺍﻟﻌﺎﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Jamal Al Ayoun Optics Est. ‫ﺟﻤﺎﻝ ﺍﻟﻌﻴﻮﻥ ﻟﻠﻨﻈﺎﺭﺍﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Bati Dispensary - Qateef ‫ ﺍﻟﻘﻄﻴﻒ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺒﻄﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Badr Aljazeera Polyclinic ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﺪﺭ ﺍﻟﺠﺰﻳﺮﺓ ﺑﺎﻟﻘﻄﻴﻒ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ibn Sena Dental Center-Qatif ‫ ﺍﻟﻘﻄﻴﻒ‬- ‫ﻣﺮﻛﺰ ﺍﺑﻦ ﺳﻴﻨﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Noor Al Madar -3- Dental Clinic ‫ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬3 ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻧﻮﺭ ﺍﻟﻤﺪﺍﺭ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Basmat Ram Dental Care ‫ ﺍﻟﻘﻄﻴﻒ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﺴﻤﺔ ﺭﺍﻡ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ City QUAIEYYAH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Quwaiyah National Clinic - Al Quw ‫ ﺍﻟﻘﻮﻳﻌﻴﺔ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻘﻮﻳﻌﻴﺔ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Majeed Al Metrek Polyclinic - Quake ‫ ﺍﻟﻘﻮﻳﻌﻴﺔ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺎﺟﺪ ﺁﻝ ﻣﺘﺮﻙ‬ City QUNFOTHAH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tehama Medical Clinic - Qunfothah ‫ ﺍﻟﻘﻨﻔﺬﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺗﻬﺎﻣﺔ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Ashiri Private Dispensary - Qunfet ‫ ﺍﻟﻘﻨﻔﺬﻩ‬- (1) ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﺸﻴﺮﻱ ﺭﻗﻢ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Zobaydi Medical Center ‫ﺍﻟﻘﻨﻔﺬﺓ‬-‫ﻣﺮﻛﺰ ﺍﻟﺰﺑﻴﺪﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Azhar Medical Polyclinic - Al Qun ‫ ﺍﻟﻘﻨﻔﺬﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻷﺯﻫﺎﺭ ﺍﻟﻄﺒﻲ‬ City RABEGH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Amal Clinic - Rabegh ‫ ﺭﺍﺑﻎ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻷﻣﻞ‬ Page 34 of 64

class Tel 3278844 class Tel 38511318 Tel 38512222 Tel 38555333 Tel 138556915 Tel 38232811 Tel 8635000 Tel 38530202 Tel 138630717 Tel 138559004 class Tel 16520986 Tel 16521888 class Tel 77322658 Tel 77464360 Tel 177331071 Tel 7325110 class Tel 24222916

VIP Y VIP Y Y Y Y Y Y Y Y Y VIP Y Y VIP Y Y Y Y VIP Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RABEGH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Nakheel National Clinic - Rabegh ‫ ﺭﺍﺑﻎ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻨﺨﻴﻞ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Rabegh Dental Clinic - Rabegh ‫ ﺭﺍﺑﻎ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺭﺍﺑﻎ ﻟﻄﺐ ﺍﻟﺴﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Khalid Idriss Medical Center - Ra ‫ ﺭﺍﺑﻎ ﻣﺠﻤﻊ ﻋﺎﺩﻡ‬- ‫ ﺧﺎﻟﺪ ﺍﺩﺭﻳﺲ‬.‫ﺩ‬ City RAFHA Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Shefaa Polycinic - Rafah ‫ ﺭﻓﺤﺎﺀ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﻔﺎﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Faiha Medical Center - Rafha ‫ ﺭﻓﺤﺎﺀ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﻴﺤﺎﺀ‬ City RANYAH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ranyah National Clinic - Ranyah ‫ ﺭﻧﻴﺔ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺭﻧﻴﺔ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Wedyan Medical Clinic - Ranyah ‫ ﺭﻧﻴﺔ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻮﺩﻳﺎﻥ‬ City RAS TANNURA Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Ta'Afi Dispensary - Ras Tannura ‫ ﺭﺍﺱ ﺗﻨﻮﺭﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺘﻌﺎﻓﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Rahima Al-Ahli Dispensary - Ras Tan ‫ ﺭﺍﺱ ﺗﻨﻮﺭﺓ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺭﺣﻴﻤﺔ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Shifa Rahima Medical Center - Ras T ‫ ﺭﺍﺱ ﺗﻨﻮﺭﺓ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﻔﺎﺀ ﺭﺣﻴﻤﺔ ﺍﻟﻄﺒﻲ‬ City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Ajaji Dental Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻌﺠﺎﺟﻲ ﻟﻸﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Thomairy Poly Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺍﻟﺜﻤﻴﺮﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr Sulaiman Al-Habib Med. Cen - Ri ‫ ﺍﻟﺮﻳﺎﺽ ﻣﺮﻛﺰ‬- ‫ ﺳﻠﻴﻤﺎﻥ ﺍﻟﺤﺒﻴﺐ ﺍﻟﻄﺒﻲ‬.‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Dhawi Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻀﻮﻱ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Khazan Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﺰﺍﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Consultative Medical Clinics - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻻﺳﺘﺸﺎﺭﻳﻪ ﺑﺎﻟﻨﺴﻴﻢ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Qwaifil Medical Clinic Center - Ri ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻘﻮﻳﻔﻞ‬ Page 35 of 64

class Tel 24221200 Tel 24223306 Tel 24222229 class Tel 46761454 Tel 46764000 class Tel 28421495 Tel 28422665 class Tel 36672665 Tel 36674490 Tel 36672525 class Tel 14774700 Tel 14911606 Tel 14622224 Tel 4931160 Tel 4355252 Tel 2320000 Tel 14268888

VIP Y Y Y VIP Y Y VIP Y Y VIP Y Y Y VIP Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Provider Name Olaya Medical Centre - Riyadh Provider Name Al Mawed Medical Center - Riyadh Provider Name Dr Fahad Alshedokhi Polyclinic - Riy Provider Name Avicenna Polyclinic - Riyadh Provider Name Heraa Medical Clinic - Riyadh Provider Name International Society Est. Med. Srv. Provider Name Al Salam Area Nat.Clinic - Riyadh Provider Name Modern Medical Clinic - Riyadh Provider Name Al Madina Opticals - Riyadh Provider Name Al Wattan Medical Complex 1 - Riyad Provider Name Al Osrah Inter. Hospital - Riyadh Provider Name Riyadh Consultative Clinics - Riyad Provider Name Al Kessaey Clinic -Riyadh Provider Name Al Olaya Intl Clinic - Riyadh Provider Name Al Amal National Polyclinic - Riyad Provider Name Al Alam Medical Company - Riyad Provider Name Abad Medical Center - Riyadh Provider Name Dar Al Shefa Hospital - Riyadh Provider Name Al Saleh Eye Care Center - Riydah

RIYADH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺍﻟﻌﻠﻴﺎ ﺍﻟﻄﺒﻲ‬4821122 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻣﺮﻛﺰ ﺍﻟﻤﻮﻋﺪ ﺍﻟﻄﺒﻲ‬14531714 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻋﻴﺎﺩﺓ ﺍﻟﺪﻛﺘﻮﺭ ﻓﻬﺪ ﺍﻟﺸﺪﻭﺧﻲ‬14610088 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺑﻦ ﺳﻴﻨﺎ‬14486834 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺣﺮﺍﺀ ﺍﻟﻄﺒﻲ‬14390040 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﻳﺎﺽ‬14461804 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺣﻲ ﺍﻟﺴﻼﻡ ﺍﻻﻫﻠﻲ‬14923030 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﻄﺒﻲ ﺍﻟﺤﺪﻳﺚ‬4918003 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻧﻈﺎﺭﺍﺕ ﺍﻟﻤﺪﻳﻨﺔ‬14040695 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- 1 ‫ ﻣﺠﻤﻊ ﺍﻟﻮﻃﻦ ﺍﻟﻄﺒﻲ‬14588444 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻻﺳﺮﻩ ﺍﻟﺪﻭﻟﻲ‬14311111 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺮﻳﺎﺽ ﺍﻻﺳﺘﺸﺎﺭﻳﺔ‬14507000 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻜﺴﺎﺋﻲ ﺍﻟﻄﺒﻲ‬14931762 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﻠﻴﺎ ﺍﻟﺪﻭﻟﻲ‬112930135 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻷﻣﻞ ﺍﻷﻫﻠﻲ‬14594900 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺷﺮﻛﺔ ﺍﻟﻌﻠﻢ ﺍﻟﻄﺒﻲ‬12483324 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺁﺑﺎﺩ ﺍﻟﻄﺒﻲ‬14043454 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺩﺍﺭ ﺍﻟﺸﻔﺎ‬14012029 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺍﻟﺼﺎﻟﺢ ﻟﻠﻌﻴﻮﻥ‬14786660 Page 36 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Badrudin Polyclinic - 2 - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺑﺪﺭ ﺍﻟﺪﻳﻦ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Jazeera Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺠﺰﻳﺮﻩ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Khalid Medical Clinic Complex Co. - ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﻣﺴﺘﻮﺻﻒ ﺧﺎﻟﺪ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rayah Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﺍﻳﻪ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Consultant Radiologists - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺍﻻﺳﺘﺸﺎﺭﻳﻮﻥ ﻟﻸﺷﻌﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Eman Medical Polyclinic - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻹﻳﻤﺎﻥ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Haramain Medical Clinic - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﺮﻣﻴﻦ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Taif Medical Center - Riydah ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻄﺎﺋﻒ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rabwah Dental Center- Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﺮﺑﻮﺓ ﻟﻸﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Elite Medical & Surgical Center - Riy ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻨﺨﺒﻪ ﺍﻟﻄﺒﻲ ﻭﺍﻟﺠﺮﺍﺣﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Malaz Medical Co. Polyclinic ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻟﻤﻠﺰ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Nahj Al Takwa Dental Center - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻧﻬﺞ ﺍﻟﺘﻘﻮﻯ ﻟﻸﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Medical Society Co. (Dr Tareq Alkad‫ )ﻋﻴﺎﺩﺍﺕ‬. ‫ﻃﺎﺭﻕ ﺍﻟﻘﺎﺿﻲ ﺷﺮﻛﺔ ﺍﻟﻤﺠﺘﻤﻊ ﺍﻟﻄﺒﻴﺔ‬/‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Faiha Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﻴﺤﺎﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Miral Dental Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﻴﺮﺍﻝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rawdah National - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﻭﺿﺔ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Bin Rushed Medical Cen. - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺑﻦ ﺭﺷﺪ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Elixir International Polyclinic - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬-‫ﻣﺮﻛﺰ ﺍﻛﺴﻴﺮ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rabe'A Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺍﻟﺮﺑﻴﻊ ﺍﻟﻄﺒﻲ‬ Page 37 of 64

class Tel 4050243 Tel 12331290 Tel 2365000 Tel 12285852 Tel 14612266 Tel 14585940 Tel 12323666 Tel 4881133 Tel 14934433 Tel 14616777 Tel 4771515 Tel 12485247 Tel 14633571 Tel 12316258 Tel 4620444 Tel 12311104 Tel 14613131 Tel 14080977 Tel 12287042

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Fahad Dental Center - Riyadh ‫ ﺍﻟﺮﻱ‬- ‫ﻃﺮﻳﻖ ﺍﻟﻤﻠﻚ ﻓﻬﺪ‬-‫ﻣﺮﻛﺰ ﻓﻬﺪ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Rathawia Med. Specialized Center - R ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﺮﺛﻮﻳﻪ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Salamatak Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺳﻼﻣﺘﻚ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Sarh Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺼﺮﺡ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Omm-Al Hamam Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻋﻴﺎﺩﺍﺕ ﺃﻡ ﺍﻟﺤﻤﺎﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Ebda'A Medical Clinic & Center ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻹﺑﺪﺍﻉ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Abas Medical Group - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻮﻋﺔ ﺁﺑﺎﺱ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ibtsamatac Dental Poly Clinic - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﺑﺘﺴﺎﻣﺘﻚ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Badri Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺒﺪﺭﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Specalized Med. Cen. Hospitl ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﺮﻛﺰ ﺍﻟﺘﺨﺼﺼﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al-Diriaya Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺍﻟﺪﺭﻋﻴﺔ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ United Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺘﺤﺪ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Your Eyes Optical - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻋﻴﻮﻧﻚ ﻟﻠﻨﻈﺎﺭﺍﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Aqiq Medical Clinic Center - Riya ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻣﺮﻛﺰ ﺍﻟﻌﻘﻴﻖ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Khaleejy Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﻠﻴﺠﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Kingdom Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﻤﻠﻜﻪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Factories Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺼﺎﻧﻊ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Abas Dental Center Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺁﺑﺎﺱ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Orouba Med. Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻌﺮﻭﺑﻪ ﺍﻟﻄﺒﻲ‬ Page 38 of 64

class Tel 4597137 Tel 14163322 Tel 2269733 Tel 14454935 Tel 4806348 Tel 12263800 Tel 2488000 Tel 12326291 Tel 14509000 Tel 4164000 Tel 14860040 Tel 2454334 Tel 4822721 Tel 14851822 Tel 14217631 Tel 2751111 Tel 12652130 Tel 14640788 Tel 14215709

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Provider Name Haie Al-Shefa Nat. Dispensary - Riya Provider Name Dar Al Shefa Clinic - Riyadh Provider Name Obeid Hospital - Riyadh Provider Name Al Barakat Optical Group - Riyadh Provider Name Shoa'A Medical Complex - Riyadh Provider Name Al Wattan Medical Complex 2 - Riyad Provider Name Sigal Dental Clinic - Riyadh Provider Name Typical Medical Clinic - Riyadh Provider Name Al Rahmah Clinic - Riyadh Provider Name Family Medical Center Clinics - Riya Provider Name Al Nozha Medical Center - Riyadh Provider Name Physical Therapists Center - Riyadh Provider Name Barakat Najd Med. Clinic - Riyadh Provider Name Al Metrek Med. Clinic - Mozahmiah Provider Name Al Hayat National Clinic - Riyadh Provider Name Dar Al Shark Med. Center - Riyadh Provider Name Dima Dental Center - Riyadh Provider Name Al Hayat National Clinic ( 3 ) - Riyad Provider Name Arabian Dental Clinic - Riyadh

RIYADH ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺣﻲ ﺍﻟﺸﻔﺎﺀ ﺍﻻﻫﻠﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺩﺍﺭ ﺍﻟﺸﻔﺎﺀ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﻋﺒﻴﺪ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻧﻈﺎﺭﺍﺕ ﺍﻟﺒﺮﻛﺎﺕ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺷﻌﺎﻉ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- 2 ‫ﻣﺠﻤﻊ ﺍﻟﻮﻃﻦ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺳﻴﺠﺎﻝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﻨﻤﻮﺫﺟﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﺣﻤﺔ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻣﺮﻛﺰ ﺍﻟﻄﺐ ﺍﻟﻌﺎﺋﻠﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻨﺰﻫﻪ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻌﻼﺝ ﺍﻟﻄﺒﻴﻌﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺑﺮﻛﺔ ﻧﺠﺪ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﻤﺰﺣﻤﻴﺔ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺘﺮﻙ ﺍﻷﻫﻠﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻴﺎﻩ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺩﺍﺭ ﺍﻟﺸﺮﻕ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺩﻳﻤﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ( 3 ) ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻴﺎﺓ ﺍﻷﻫﻠﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﻌﺮﺑﻲ ﻟﻸﺳﻨﺎﻥ‬ Page 39 of 64

class Tel 5210015 Tel 4989220 Tel 4767222 Tel 14722677 Tel 4563777 Tel 14964455 Tel 14648060 Tel 2451910 Tel 12260507 Tel 14240749 Tel 14509811 Tel 2930010 Tel 14931660 Tel 15232323 Tel 12444111 Tel 2272228 Tel 14661200 Tel 12741810 Tel 14650748

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Falah Inter. Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﻔﻼﺡ ﺍﻟﺪﻭﻟﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Saudi German Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺍﻟﻤﺴﺘﺸﻔﻰ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻻﻟﻤﺎﻧﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Shining Horizons Medical Center - R ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻵﻓﺎﻕ ﺍﻟﻤﻀﻴﺌﺔ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sultan B Aziz Humanitarian City Hos‫ ﻣﺪﻳﻨﺔ ﺳﻠﻄﺎﻥ ﺑﻦ ﻋﺒﺪﺍﻟﻌﺰﻳﺰ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻹﻧﺴﺎﺳﻴﺔ‬Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Kental Dental Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﻛﻨﺘﺎﻝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Arab Medical Dar - Riyadh -‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺩﺍﺭ ﺍﻟﻌﺮﺏ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Safeer Dental Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﺴﻔﻴﺮ ﻟﻸﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Mohd. Al Anezi Med. Center - Riy ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺍﻟﺪﻛﺘﻮﺭ ﻣﺤﻤﺪ ﺍﻟﻌﻨﺰﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Abas Medical Group - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻮﻋﺔ ﺁﺑﺎﺱ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Smile World Spc. Dental Cen - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬-‫ﻋﺎﻟﻢ ﺍﻹﺑﺘﺴﺎﻣﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Maseef Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺼﻴﻒ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Hayat National Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺤﻴﺎﺓ ﺍﻟﻮﻃﻨﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mursalaat Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺮﺳﻼﺕ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Gulf Radiology Center ‫ﻣﺮﻛﺰ ﺍﻟﺨﻠﻴﺞ ﻟﻸﺷﻌﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Magrabi Center - Eye, Ent, Dental ( R‫ﻭ ﻭ ﺍﻟﺤﻨﺠﺮﺓ ﻭ ﺍﻷﺫﻥ ﻣﺮﻛﺰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Subhi Spec. Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﺼﺒﺤﻲ ﺍﻟﺘﺨﺼﺼﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Warood Med. Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻮﺭﻭﺩ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Moajjel Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ ﻋﻴﺎﺩﺍﺕ‬- ‫ ﺍﻟﻤﻌﺠﻞ‬.‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Rowdah Al Aqsa Medical Complex 2 ‫ ﺍﻟﺮﻳﺎﺽ‬- 2 ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﻭﺿﺔ ﺍﻷﻗﺼﻰ ﺍﻟﻄﺒﻲ‬ Page 40 of 64

class Tel 4463737 Tel 4873000 Tel 12252000 Tel 5620000 Tel 14080414 Tel 14160011 Tel 12050810 Tel 12303316 Tel 14557000 Tel 12488837 Tel 12255000 Tel 14455555 Tel 14541337 Tel 12933999 Tel 4455049 Tel 12335000 Tel 14703355 Tel 14477065 Tel 14536060

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Advanced Medicine Centre - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻄﺐ ﺍﻟﻤﺘﻘﺪﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Right Treatment Dispensary - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻃﺮﻳﻖ ﺍﻟﻌﻼﺝ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ashbelia Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺃﺷﺒﻴﻠﻴﺎ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Azallal Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ ﻣﺮﻛﺰ‬- ‫ ﻣﺴﺎﻋﺪ ﺍﻟﺰﻻﻝ ﺍﻟﻄﺒﻲ‬.‫ﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Alosrah Medical Complex 2 - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- 2 ‫ﻣﺠﻤﻊ ﻃﺐ ﺍﻷﺳﺮﺓ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Jafel International Hosptal - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺠﺎﻓﻞ ﺍﻟﺪﻭﻟﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Azhar Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻵﺯﻫﺎﺭ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Mayiez Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﻣﺎﻳﺰ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Care & Science Medical Co. ‫ ﺍﻟﻤﻠﺰ‬-‫ﻣﺮﻛﺰ ﺍﻻﻓﺎﻕ ﺍﻟﻤﻀﻴﺌﻪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Afaq Al Balsam Dental Co. - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺷﺮﻛﺔ ﺁﻓﺎﻕ ﺍﻟﺒﻠﺴﻢ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al-Mashfa Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻤﺸﻔﻰ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Safa Makkah Polyclinic - Batha Riyad ‫ ﺍﻟﺮﻱ‬- ‫ ﺑﻄﺤﺎﺀ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺻﻔﺎ ﻣﻜﻪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Aram Medical Complex - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﺭﺍﻡ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Alpha Dental Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻔﺎ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Modawat Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻋﻴﺎﺩﺕ ﺍﻟﻤﺪﺍﻭﺍﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Raf Medical Complex - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﺍﻑ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Alttadawe Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﺘﺪﺍﻭﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Warood Optical - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺑﺼﺮﻳﺎﺕ ﺍﻟﻮﺭﻭﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Almohammadiah Medical Center - R ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺤﻤﺪﻳﺔ ﺍﻟﻄﺒﻲ‬ Page 41 of 64

class Tel 2004040 Tel 14268000 Tel 12400555 Tel 14533666 Tel 4572417 Tel 14322222 Tel 12366788 Tel 2169999 Tel 12921222 Tel 14268777 Tel 12088585 Tel 4026111 Tel 12081111 Tel 14561358 Tel 14987038 Tel 14473407 Tel 12780211 Tel 14703377 Tel 12101313

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Orouba Medical Second Clinic - R ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﺍﻟﺜﺎﻧﻲ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﺮﻭﺑﺔ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Haie Badr Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺣﻲ ﺑﺪﺭ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rajhi International Clinic - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﺍﺟﺤﻲ ﺍﻟﺪﻭﻟﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Pearl'S Smile Medical Center - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺑﺴﻤﺔ ﺍﻟﻠﺆﻟﺆ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ My Teath Specialized Clinic - Mozahm ‫ﻋﻴﺎﺩﺍﺕ ﺃﺳﻨﺎﻧﻲ ﺍﻟﺘﺨﺼﺼﻴﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Asia Medical Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺁﺳﻴﺎ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Majestic Millennium Complex And M‫ ﺷﺮﻛﺔ ﺍﻷﻟﻔﻴﺔ ﺍﻟﺮﺍﻗﻴﺔ ﻟﻠﻤﺠﻤﻌﺎﺕ ﻭﺍﻟﻤﺮﺍﻛﺰ ﺍﻟﻄﺒﻴﺔ‬Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Abdulfattah M. Al Mutlaq ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺪﻛﺘﻮﺭ ﻋﺒﺪﺍﻟﻔﺘﺎﺡ ﺍﻟﻤﻄﻠﻖ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Alame Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﺎﻟﻤﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Safa Makkah Polyclinic3 - Harah ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻋﻴﺎﺩﺕ ﺻﻔﺎﺀ ﻣﻜﺔ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Omar Al Ajaji Medical Center 2 - Riy ‫ ﺍﻟﺮﻳﺎﺽ‬- (2) ‫ﻣﺮﻛﺰ ﻋﻤﺮ ﺍﻟﻌﺠﺎﺟﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Madaar Al Shefa Dental Polyclinic - R‫ ﺍﻟﺮﻳﺎﺽ‬- (‫ﻋﻴﺎﺩﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎﺀ ﻟﻸﺳﻨﺎﻥ)ﺍﻟﺸﺮﻗﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Madaar Al Shefa Dental Polyclinic - R‫ ﺍﻟﺮﻳﺎﺽ‬- (‫ﻋﻴﺪﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎﺀ ﻟﻸﺳﻨﺎﻥ)ﺣﻲ ﺑﺪﺭ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Treatment Way Dental Center - Riya ‫ ﺍﻟﺮﻳﺎ‬- ‫ﻣﺮﻛﺰ ﻃﺮﻳﻖ ﺍﻟﻌﻼﺝ ﻟﻄﺐ ﻭﺗﻘﻮﻳﻢ ﺍﻻﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dent Care Clinics (Consultancy Denta ‫ ﺍﻟﺮﻱ‬- (‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻌﻨﺎﻳﺔ ﺑﺎﻻﺳﻨﺎﻥ ) ﺩﻧﺘﺎﻝ ﻛﻴﺮ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Safa Makkah Polyclinic 2 - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- 2 ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺻﻔﺎ ﻣﻜﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ziyad Al Mutlaq Dispensary - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺯﻳﺎﺩ ﺍﻟﻤﻄﻠﻖ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Smile Dental Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺳﻤﺎﻳﻞ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Seha Al Daraya Polyclinic - Darrayia ‫ ﺍﻟﺪﺭﻋﻴﺔ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺻﺤﺔ ﺍﻟﺪﺭﻋﻴﺔ‬ Page 42 of 64

class Tel 14215704 Tel 14232355 Tel 14036555 Tel 14646334 Tel 15232929 Tel 14494477 Tel 14607642 Tel 14059787 Tel 14953022 Tel 4012128 Tel 2655525 Tel 12086177 Tel 14234400 Tel 2784400 Tel 2196000 Tel 4040188 Tel 4543104 Tel 2055050 Tel 4863388

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mawiyah Consultative Clinic (1) -‫( ﺍﻟﻨﺴﻴﻢ‬1) ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﻤﺌﻮﻳﺔ ﺍﻷﺳﺘﺸﺎﺭﻳﺔ‬- 12314444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Consultative Mawyah Corner Polycli‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﻛﻦ ﺍﻟﻤﺌﻮﻳﺔ ﺍﻻﺳﺘﺸﺎﺭﻳﺔ ﺍﻟﻤﺮﻭﺝ‬- 14537777 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mawiyah Consultative Clinic (3) -‫( ﺍﻟﺮﻭﺿﺔ‬3) ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﻤﺌﻮﻳﺔ ﺍﻷﺳﺘﺸﺎﺭﻳﺔ‬- 12084444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mawiyah Consultative Clinic (4) - ‫( ﺣﻲ ﺍﻟﺴﻞ‬4) ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﻤﺌﻮﻳﺔ ﺍﻷﺳﺘﺸﺎﺭﻳﺔ‬12359090 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mawiyah Consultative Clinic (5) -‫( ﺍﻟﺴﻠﻴﻤﺎﻧﻲ‬5) ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﻤﺌﻮﻳﺔ ﺍﻷﺳﺘﺸﺎﺭﻳﺔ‬114318484 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mawiyah Consultative Clinic (6) - ‫( ﺍﻟﻤﻌﺬﺭ‬6) ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﻤﺌﻮﻳﺔ ﺍﻷﺳﺘﺸﺎﺭﻳﺔ‬- 14631431 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mawiyah Consultative Clinic (7) - ‫( ﺍﻟﺨﻠﻴﺞ‬7) ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﻤﺌﻮﻳﺔ ﺍﻷﺳﺘﺸﺎﺭﻳﺔ‬- 12272333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mawiyah Consultative Clinic (8) - ‫( ﺍﻟﻨﺴﻴﻢ‬8) ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﻤﺌﻮﻳﺔ ﺍﻷﺳﺘﺸﺎﺭﻳﺔ‬- 12337777 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mawiyah Consultative Clinic (9) -‫( ﺍﻟﻤﻐﺮﺯﺍﺕ‬9) ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﻤﺌﻮﻳﺔ ﺍﻷﺳﺘﺸﺎﺭﻳﺔ‬1263777 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Amin Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻻﻣﻴﻦ ﺍﻟﻄﺒﻲ‬14222000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Thomairy National Clinic (2) - Riy ‫ ﺍﻟﺮﻳﺎﺽ‬- ( 2 ) ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺜﻤﻴﺮﻱ ﺍﻷﻫﻠﻲ‬12310417 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ramh Dental & Implant Center - Riy ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺭﺍﻣﻪ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬14800933 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Trust Medical Clinics - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻻﻋﺘﻤﺎﺩ ﺍﻟﻄﺒﻲ‬12496070 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Asaad Clinic - Riyadh ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺃﺳﻌﺪ ﻟﻸﺳﻨﺎﻥ ﻭﺍﻟﺠﻠﺪﻳﺔ‬14549949 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Almas Dental Center - Riyadh ‫ ﺍﻟﺮﻱ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻭﺍﺣﺔ ﺍﻟﻤﺎﺱ ﺍﻟﻄﺒﻲ ﻟﻸﺳﻨﺎﻥ‬2487888 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Douvin Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺩﻭﻓﻦ ﺍﻟﻄﺒﻲ‬12860044 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Madar Al Quds Dental Center - Riyad ‫ ﺍﻟﺮﻳﺎ‬- ‫ ﻣﺮﻛﺰ ﻣﺪﺍﺭ ﺍﻟﻘﺪﺱ ﻟﻄﺐ ﻭﺗﻘﻮﻳﻢ ﺍﻻﺳﻨﺎﻥ‬12783111 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Durrat Ghornata Medical Complex ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﺩﺭﺓ ﻏﺮﻧﺎﻃﺔ ﺍﻟﻄﺒﻲ‬12771162 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Khozama Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺨﺰﺍﻣﻰ ﺍﻟﻄﺒﻲ‬4500011 Page 43 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Alosrah Medical Complex 1 - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- 1 ‫ﻣﺠﻤﻊ ﻃﺐ ﺍﻷﺳﺮﺓ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ent Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺍﻟﻤﺮﻛﺰ ﺍﻟﻄﺒﻲ ﻟﻸﻧﻒ ﻭﺍﻷﺫﻥ ﻭﺍﻟﺤﻨﺠﺮﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Shifa Al Jazeera Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﻔﺎﺀ ﺍﻟﺠﺰﻳﺮﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Ridwan Dental Complex - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺮﺿﻮﺍﻥ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Fedad Specialist Clinic For Dentistry ‫ ﺍﻟﺮﻳﺎ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻓﺪﺍﺩ ﺍﻟﺘﺨﺼﺼﻲ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al-Ryan International Polyclinic Co - ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻟﺮﻳﺎﻥ ﺍﻟﺪﻭﻟﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Uranus Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺃﻭﺭﺍﻧﺲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Alnahdah Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻨﻬﻀﺔ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Khaleejy Medical Clinic - Al Ma'A ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﺨﻠﻴﺠﻲ ﺍﻟﻌﺎﻡ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Khaleejy Medical Clinic - Shobra ‫ ﺍﻟﻄﺒﻲ‬- ‫ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﺨﻠﻴﺠﻲ ﺍﻟﻄﺒﻲ ﺑﺸﺒﺮﺍ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Kadesiah Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻘﺎﺩﺳﻴﺔ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Saad Al Gwaiz Poly Clinic - Riya ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺳﻌﺪ ﺍﻟﻘﻮﻳﺰ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Bilad Medical Clinic (1) - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﻼﺩ ﺍﻟﻄﺐ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ How Medical Centers Group-Al Moro ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﺍﻟﻤﺮﻭﺝ‬- ‫ﻣﺠﻤﻮﻋﺔ ﻫﺎﻭ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Your Health Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺻﺤﺘﻚ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Alshomoly Medical Polyclinics - Riya ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺍﻟﻄﺐ ﺍﻟﺸﻤﻮﻟﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Marwa Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺮﻭﺓ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Morouj Specialized Center - Riyad‫ ﻣﺴﺘﻮﺻﻒ ﻭﻣﺮﻛﺰ ﺍﻟﻤﺮﻭﺝ ﺍﻟﺘﺸﺨﻴﺼﻲ ﺍﻟﻌﻼﺟﻲ‬Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Rejam Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺭﺟﺎﻡ ﺍﻟﻄﺒﻲ‬ Page 44 of 64

class Tel 4262233 Tel 4802229 Tel 4093465 Tel 4784081 Tel 2253441 Tel 4013429 Tel 4657000 Tel 4657161 Tel 2877284 Tel 4261126 Tel 4460800 Tel 2006070 Tel 2490216 Tel 4509444 Tel 2268255 Tel 4543232 Tel 2382020 Tel 4501149 Tel 4163737

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Adwa'A Dorat Al Alami Medical Com ‫ ﺍﻟﺮﻳﺎ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺃﺿﻮﺍﺀ ﺩﺭﺓ ﺍﻟﻌﺎﻟﻤﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Momtaz Clinics Complex - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﻤﺘﺎﺯ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Cosma Dental Polyclinic Co - Riyadh ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﻛﺰﻣﺎ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sanaya Dental Care - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺳﻨﺎﻳﺎ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Maleen Dental Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﻣﺎﻟﻴﻦ ﺍﻻﺳﺘﺸﺎﺭﻱ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Noorana Medical Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻧﻮﺭﺍﻧﺎ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Thowaini Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺜﻮﻳﻨﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Photon Radiology Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﻓﻮﺗﻮﻥ ﻟﻸﺷﻌﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Maha Opticals Centers - Wide Kin ‫ ﺟﻤﻴﻊ ﺍﻧﺤﺎﺀ ﺍﻟﻤﻤﻠﻜﺔ‬- ‫ﻣﺮﺍﻛﺰ ﺑﺼﺮﻳﺎﺕ ﺍﻟﻤﻬﺎ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Rawdat Al Aqsa Medical Complex - R ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﻭﺿﺔ ﺍﻻﻗﺼﻰ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Optic Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺷﺮﻛﺔ ﻣﺮﻛﺰ ﺍﻟﻌﺪﺳﺎﺕ ﺍﻟﺠﺪﻳﺪﺓ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Pretty Smile Dental Clinics - Riyadh ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺮﻛﺰ ﺍﻻﺑﺘﺴﺎﻣﺔ ﺍﻟﺠﻤﻠﻴﺔ ﻟﻄﺐ ﺍﻻﺱ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Bashawri Opticals - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﺍﻛﺰ ﺍﻟﺒﺸﺎﻭﺭﻱ ﻟﻠﺒﺼﺮﻳﺎﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Future Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻤﺴﺘﻘﺒﻞ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Faiha Medical Polyclinic - Al Ertawiy ‫ ﺍﻷﺭﻃﺎﻭﻳﺔ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﻴﺤﺎﺀ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tutia Kids Optical Stores - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺗﻮﺗﻴﺎ ﻟﻠﻨﻈﺎﺭﺍﺕ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Panorama Dental Clinic ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻃﻼﻟﺔ ﺑﺎﻧﻮﺭﺍﻣﺎ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Kadoun Dental Center 2 - Riyadh ‫ ﺍﻟﺮﻳﺎ‬- ‫ﻣﺠﻤﻊ ﻛﺪﻭﻥ ﺍﻟﻄﺒﻲ ﺍﻟﺜﺎﻧﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Hayat Polyclinic - Esbelia - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﺃﺷﺒﻴﻠﻴﺎ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻴﺎﺓ‬ Page 45 of 64

class Tel 2481400 Tel 4786807 Tel 4707766 Tel 2174888 Tel 2055577 Tel 4780000 Tel 2317744 Tel 2933057 Tel 2326567 Tel 4938919 Tel 4614841 Tel 2243333 Tel 4132550 Tel 4506000 Tel 64360333 Tel 2178491 Tel 2162999 Tel 2168888 Tel 2789333

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Shmael Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﻤﺎﺋﻞ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Rabia Hospital-Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺭﺍﺑﻴﺔ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Yarmok Polyclinic Medical Co. - R ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺷﺮﻛﺔ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻴﺮﻭﻣﻮﻙ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Bayan Medical Complex - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺒﻴﺎﻥ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Photon Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻋﻴﺎﺩﺍﺕ ﻓﻮﺗﻮﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Mugla Optical Center ‫ﻣﺮﺍﻛﺰ ﻣﻘﻠﻪ ﻟﻠﺒﺼﺮﻳﺎﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al-Khaleejy Polyclinic - Industrial Ar ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﺍﻟﺼﻨﺎﻋﻴﺔ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﻠﻴﺠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ La'Ali Najd Est. ‫ﻣﺆﺳﺴﺔ ﻵﻟﺊ ﻧﺠﺪ ﺍﻟﺘﺠﺎﺭﻳﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Riyadh Care Medical Clinic - Riya ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻋﻼﺝ ﺍﻟﺮﻳﺎﺽ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sanad Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺳﻨﺪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Metrek Medical Dispensary 2- Wa‫ ﺍﻝ‬- ‫ ﻇﻬﺮﺓ ﻟﺒﻦ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺁﻝ ﻣﺘﺮﻙ ﺍﻟﻄﺒﻲ ﺍﻟﺜﺎﻧﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Metrek Medical Dispensary 3 - Al ‫ ﺍﻟﺮﻳﺎ‬- ‫ ﺍﻟﺤﺎﺋﺮ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺁﻝ ﻣﺘﺮﻙ ﺍﻟﻄﺒﻲ ﺍﻟﺜﺎﻟﺚ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Zahrat Al-Amal Medical Poly Clinic 1 ‫ ﺍﻟﺮﻳﺎﺽ‬- (1) ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺯﻫﺮﺓ ﺍﻷﻣﻞ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Renad Optical ‫ﻣﺮﺍﻛﺰ ﺑﺼﺮﻳﺎﺕ ﺭﻳﻨﺎﺩ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ British Saudi Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺴﻌﻮﺩﻱ ﺍﻟﺒﺮﻳﻄﺎﻧﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Sinayah Al Ahli Dispensary ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺼﻨﺎﻋﻴﺔ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Basmah Al Mutlaqa Dental Clinic - R‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺑﺴﻤﺔ ﺍﻟﻤﻠﺘﻘﻰ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ How Medical Centers Group - Al Nas ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﺍﻟﻨﺴﻴﻢ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻫﺎﻭ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Wahat Al Tashafi Polyclinic - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻭﺍﺣﺔ ﺍﻟﺘﺸﺎﻓﻲ‬ Page 46 of 64

class Tel 4286923 Tel 4999000 Tel 2490484 Tel 4510944 Tel 4660000 Tel 2320995 Tel 4987038 Tel 2487228 Tel 4553041 Tel 2407778 Tel 4611446 Tel 4902662 Tel 4319988 Tel 2066363 Tel 4636666 Tel 4482223 Tel 4460668 Tel 2356111 Tel 4327888

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Barakat Medical Center-Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻣﺮﻛﺰ ﺍﻟﺒﺮﻛﺎﺕ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sama Dental Center - Ruh ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﻴﺖ ﺳﻤﺎﺀ ﻟﻄﺐ ﻭﺗﻘﻮﻳﻢ ﺍﻷﺳﻨﺎﻥ‬- ‫ﺍ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Weqayah Medical Polyclinic 1 ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﻣﺠﻤﻊ ﻭﻗﺎﻳﺔ ﺍﻟﻄﺒﻲ‬1 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Durat Lamar Medical Center - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﺭﺓ ﻟﻤﺎﺭ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Khaled Al Ajaji Medical Clinic - Ru ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺧﺎﻟﺪ ﺍﻟﻌﺠﺎﺟﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Suncity Polyclinic Co. Ltd.-Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﻤﺲ ﺍﻟﻤﺪﻥ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Bariq Al Ebtesama Dental Center - R ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺑﺮﻳﻖ ﺍﻻﺑﺘﺴﺎﻣﺔ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Abrag Dental Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻻﺑﺮﺍﺝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Madina Hearing Aids Center- Riya ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻤﺪﻳﻨﺔ ﻟﻠﺴﻤﻌﻴﺎﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Kadoon Dental Center (1) - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- 1 ‫ﻣﺮﻛﺰ ﻛﺪﻭﻥ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Samar Khaleel Al Mokayad Dental C‫ ﺍﻝ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺳﻤﺮ ﺧﻠﻴﻞ ﺍﻟﻤﻘﻴﺪ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sultan Al Faraidy Medical Clinic - Ru ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺳﻠﻄﺎﻥ ﺍﻟﻔﺮﺍﺋﻀﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Faraidy National Clinic -Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﺮﺍﺋﻀﻲ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Senymar Medical Clinic - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺳﻨﻤﺎﺭ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sultan Al Faraidy Mdical Polyclinic - ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺳﻠﻄﺎﻥ ﺍﻟﻔﺮﺍﺋﻀﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Hakim Dental Center - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻜﻴﻢ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Nakheel Dental Center (2) - Ruh ‫( ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻗﻤﺔ ﺍﻟﻨﺨﻴﻞ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬2) Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Farabi Dental Center - Ruh ‫ ﺍﻟﺮﻳﺎ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﺎﺭﺍﺑﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Nakheel Dental Center (1) - Ruh ‫( ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻗﻤﺔ ﺍﻟﻨﺨﻴﻞ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬1) Page 47 of 64

class Tel 4778883 Tel 2495604 Tel 4894135 Tel 92000852 Tel 4303539 Tel 4068882 Tel 2338010 Tel 4246101 Tel 4788809 Tel 2168888 Tel 4040446 Tel 2388676 Tel 2388676 Tel 2388676 Tel 2388676 Tel 112475517 Tel 114854495 Tel 114255987 Tel 114181178

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Andalus Dental Center - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﻧﺪﻟﺲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬114332701 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Mirad Mediacl Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻣﻴﺮﺍﺩ ﺍﻟﻄﺒﻲ‬2328426 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Belad Medical Clinic - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺒﻼﺩ ﺍﻟﻄﺒﻲ‬4584595 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Raseel Medical Center (1) - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- (1) ‫ ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﻣﺮﻛﺰ ﺭﺳﻴﻞ ﺍﻟﻄﺒﻲ‬2047700 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Noon Medical Center (2) - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- (2) ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﻧﻮﻥ ﺍﻟﻄﺒﻴﺔ‬4822198 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Razi Clinic - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺮﺍﺯﻱ ﺍﻷﻫﻠﻲ‬4824370 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Sharq Polyclinic - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﺮﻕ ﺍﻟﻄﺒﻲ‬2267128 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Family Smile Polyclinic - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺇﺑﺘﺴﺎﻣﺔ ﺍﻟﻌﺎﺋﻠﺔ‬4569729 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ekhlass Medical Clinic - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻻﺧﻼﺹ ﺍﻟﻄﺒﻲ‬2492129 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Reprogene Fertility Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻧﺠﺎﺏ ﺍﻟﻄﺒﻲ‬4661161 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Motamayzoon Medical Center-Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺍﻷﻃﺒﺎﺀ ﺍﻟﻤﺘﻤﻴﺰﻭﻥ ﺍﻟﻄﺒﻲ‬2303434 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Hay Al Khaleej Medical Clinic - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺣﻲ ﺍﻟﺨﻠﻴﺞ ﺍﻟﻄﺒﻲ‬2269967 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Zahrat Al-Amal Medical Poly Clinic 2 ‫ ﺍﻟﺮﻳﺎﺽ‬- (2) ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺯﻫﺮﺓ ﺍﻷﻣﻞ ﺍﻟﻄﺒﻲ‬4313333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Khaleejy Dental Center - Shoubra‫ ﺍﻟﺮﻱ‬- ‫ ﺷﺒﺮﺍ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﺨﻠﻴﺠﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬4266095 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Khaleejy Dental Center - Bade'A ‫ﺍﻟﺮﻱ‬ - - ‫ ﺑﺪﻳﻌﺔ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﺨﻠﻴﺠﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬4240527 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Khaleejy Dental Center - Al Rawd‫ ﺍﻝ‬- ‫ ﺍﻟﺮﻭﺿﺔ‬- ‫ ﺍﻟﻤﺴﺘﻮﺻﻒ ﺍﻟﺨﻠﻴﺠﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬2358980 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Saad Al Sadoon Med. Clinics (1) - ‫ ﺍﻟﺮﻳﺎﺽ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ‬-(1) ‫ ﺳﻌﺪ ﺍﻟﺴﻌﺪﻭﻥ‬/‫ ﺩ‬2281919 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Khazan Clinic 2 - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﺰﺍﻥ ﺍﻟﻄﺒﻲ ﺍﻟﺜﺎﻧﻲ‬4202272 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Amal Medical Care Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻋﻤﺎﻝ ﺍﻟﻌﻨﺎﻳﺔ ﺍﻟﻄﺒﻲ‬4059434 Page 48 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Rowad Dental Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺍﻟﺮﻭﺍﺩ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬4661199 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Saed S. Al Harthi Medical Group ‫ ﺍﻟﺮﻳﺎﺽ ﻣﺠﻤﻊ‬- ‫ ﺳﺎﻋﺪ ﺑﻦ ﺳﻌﺪ ﺍﻟﺤﺎﺭﺛﻲ ﺍﻟﻄﺒﻲ‬.‫ ﺩ‬4897666 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Zeyan Dental Clinics - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺯﻳﺎﻥ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬4650068 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mansur Medical Clinics - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻨﺼﻮﺭ ﺍﻟﻄﺒﻲ‬2411888 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Lasting Smile Dental Clinics - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺒﺴﻤﺔ ﺍﻟﺪﺍﺋﻤﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬4640216 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Wedam Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺍﻟﻮﺩﺍﻡ ﺍﻟﻄﺒﻲ‬112261441 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Maha Al Haj Dental Clinics - Riy ‫ ﺍﻟﺮﻳﺎ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ‬- ‫ ﻣﻬﺎ ﺍﻟﺤﺎﺝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬.‫ ﺩ‬2191922 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Curing Touch Clinics Complex Co. - R ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻟﻤﺴﺔ ﺍﻟﺸﻔﺎﺀ‬2288888 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ajial Medical Complex- Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺃﺟﻴﺎﻝ ﺍﻟﻄﺒﻲ‬112001155 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Clinic Madan Al Aseme Medical - Riy ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻣﻴﺪﺍﻥ ﺍﻟﻌﺎﺻﻤﺔ ﺍﻟﻄﺒﻲ‬4963005 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Shaza Medical Clinic - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺷﺬﺍ ﺍﻟﻄﺒﻲ‬4917788 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Omar Al Ajaji Medical Center - Riya ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﻋﻤﺮ ﺍﻟﻌﺠﺎﺟﻲ ﺍﻟﻄﺒﻲ‬14741122 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dar El Elaj Dispensary - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺩﺍﺭ ﺍﻟﻌﻼﺝ‬14258932 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Roaa Al Oyon Opticals - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﺑﺼﺮﻳﺎﺕ ﺭﺅﻯ ﺍﻟﻌﻴﻮﻥ‬4494441 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Raheef Dental Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻭﻣﺮﻛﺰ ﺭﻫﻴﻒ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬4822718 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Crazy Optical - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﻏﺮﺍﺋﺐ ﺍﻟﻨﻈﺎﺭﺍﺕ‬2931190 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dorat Al Maha Optical Center - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﺩﺭﺓ ﺍﻟﻤﻬﺎ ﻟﻠﺒﺼﺮﻳﺎﺕ‬4778718 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Barrak Medical Center - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺒﺮﺍﻙ ﺍﻷﻫﻠﻲ‬2620407 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Arid Medical Complex - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﻌﺎﺭﺽ ﺍﻟﻄﺒﻲ‬4359460 Page 49 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Fares Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﺎﺭﺱ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Cima Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺳﻴﻤﺎﻱ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dorrat Al Elaj Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﺭﺓ ﺍﻟﻌﻼﺝ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Mansoura Medical Clinic - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻨﺼﻮﺭﺓ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Sheat Al Omam Al Takhasusi - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺻﺤﺔ ﺍﻷﻣﻢ ﺍﻟﺘﺨﺼﺼﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Lotus Medical Center - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻟﻠﻮﺗﺲ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Adwaa Al-Alami Complex For Denta ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺠﻤﻊ ﺃﺿﻮﺍﺀ ﺍﻟﻌﺎﻟﻤﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Shaden Polyclinic - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- (1) ‫ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﺍﻟﺸﺎﺩﻥ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dr. Suliman Al Habib Hospital - Ruh‫ ﺍﻟﺮﻱ‬- ‫ ﺍﻟﺮﻳﺎﻥ‬- ‫ ﺳﻠﻴﻤﺎﻥ ﺍﻟﺤﺒﻴﺐ‬/ ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺪﻛﺘﻮﺭ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dawaak Medical Center - Ruh ‫ ﺍﻟﺮﻳﺎ‬- ( 1 ) ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺩﻭﺍﺋﻚ ﺍﻟﻄﺒﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Jazeera Hospital - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺠﺰﻳﺮﺓ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Khazan Modern Dental - Riyadh ‫ ﺍﻟﺮﻱ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺨﺰﺍﻥ ﺍﻟﺤﺪﻳﺚ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Kawther Dental Clinic Center - Ri ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻜﻮﺛﺮ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Rawabi Area Medical Center - Riy‫ ﺍﻝ‬- ( 1 ) ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺮﻛﺰ ﺣﻲ ﺍﻟﺮﻭﺍﺑﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Laura Medical Center - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ( 1 ) ‫ﻣﺠﻤﻊ ﻟﻮﺭﺍ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Bilad Atib Medical Clinics (2) - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ( 2 ) ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺑﻼﺩ ﺍﻟﻄﺐ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Cinter Daring Eyes Opticals - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻋﻴﻮﻥ ﺟﺮﻳﺌﺔ ﻟﻠﺒﺼﺮﻳﺎﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Naseem Brothers Dental Polyclinic - R‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻧﺴﻴﻢ ﺍﻻﺧﻮﺓ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Manfouha National Medical Clinic - R ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻣﻨﻔﻮﺣﺔ ﺍﻻﻫﻠﻲ‬ Page 50 of 64

class Tel 2624678 Tel 2005333 Tel 4488960 Tel 4465029 Tel 2277676 Tel 2496068 Tel 4381192 Tel 4317020 Tel 4622224 Tel 2446677 Tel 2388888 Tel 4040446 Tel 4910256 Tel 4967677 Tel 4123232 Tel 2338844 Tel 4392272 Tel 2328277 Tel 4581251

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Jwel Clinics - Riyadh ‫( ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﺟﻮﻳﻞ ﺍﻟﺴﻌﻮﺩﻳﺔ ﻟﻠﺮﻋﺎﻳﺔ ﺍﻟﻄﺒﻴﺔ‬1) 4883424 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Wahaj Zain Medical Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻭﻫﺞ ﺯﻳﻦ ﺍﻟﻄﺒﻲ‬2091114 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Metrek Al Qahtane Poly Clinic & Par‫ ﻋﻮﺽ ﺍﻝ ﺷﺮﻛﺔ ﻣﺘﺮﻙ ﻣﺎﺟﺪ ﺍﻟﻘﺤﻄﺎﻧﻲ ﻭﺷﺮﻳﻜﻪ‬/ ‫ ﺩ‬4589504 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ayma Consultative Center - Ruh ‫ ﺍﻟﺮﻳﺎﺽ‬- (1) ‫ ﻣﺮﻛﺰ ﺍﻳﻤﺎ ﺍﻻﺳﺘﺸﺎﺭﻱ‬2635555 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ayan Consultative Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- (1) ‫ ﻣﺮﻛﺰ ﺍﻳﺎﻥ ﺍﻻﺳﺘﺸﺎﺭﻱ‬2725555 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Nawajeth Dental Clinic ‫ ﻣﺴﺘﻮﺻﻒ ﻣﺮﻛﺰ ﻧﻮﺍﺟﺪ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬4656531 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Qasr Al-Rayed Complex Polyclinic-R ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﻗﺼﺮ ﺍﻟﺮﺍﺋﺪ ﺍﻟﻄﺒﻲ‬2690606 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Madaar Al Shefa Dental Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺪﺍﺭ ﺍﻟﻄﺒﻲ‬5522380 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Allied Diagnostics Center ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﺍﻟﻤﺮﻛﺰ ﺍﻟﻤﺘﺤﺎﻟﻒ ﻟﻼﺷﻌﺔ‬2771100 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Modern Higher Dental Polyclinc Co. ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻟﺤﺪﻳﺚ ﺍﻟﻌﺎﻟﻲ‬2338585 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Sharoq Medical Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻃﺐ ﺍﻟﺸﺮﻭﻕ‬2339494 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Turki Hmoud Al Baqmi & Partner D ‫ ﺍ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺗﺮﻛﻲ ﺍﻟﺒﻘﻤﻲ ﻭﺷﺮﻳﻜﻪ ﻟﻄﺐ‬2263296 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Shobra Medical Clinic ‫ ﻣﺴﺘﻮﺻﻒ ﺷﺒﺮﺍ ﺍﻟﻄﺒﻲ‬4253030 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr.Sulaiman Al-Thukair Specialist C ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺪﻛﺘﻮﺭ ﺳﻠﻴﻤﺎﻥ ﺍﻟﺬﻛﻴﺮ ﺍﻟﺘﺨﺼﺼﻴﺔ‬4962424 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Tdawee Al-Riyadh Medical Complex ‫ ( ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺗﺪﺍﻭﻱ ﺍﻟﺮﻳﺎﺽ ﺍﻟﻄﺒﻲ‬1 ) 2533999 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Zarqa Alyamamh Optical ‫ ﻧﻈﺎﺭﺍﺕ ﺯﺭﻗﺎﺀ ﺍﻟﻴﻤﺎﻣﺔ‬4646689 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Elaj City Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﻣﺪﻳﻨﺔ ﺍﻟﻌﻼﺝ ﺍﻻﻫﻠﻲ‬15412925 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Specialized Medical Care Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺮﻛﺰ ﺍﻟﺘﺨﺼﺼﻲ ﻟﻠﻌﻨﺎﻳﺔ ﺍﻟﻄﺒﻴﺔ‬4553925 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Sahha Al Riyadh Polyclinic & Surgica ‫ ( ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺼﺤﺔ ﻟﻠﻜﻞ‬2 ) 114032290 Page 51 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dar Al Muafat Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﺍﺭ ﺍﻟﻤﻌﺎﻓﺎﺓ ﺍﻟﻄﺒﻲ‬920011989 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Bilasan Dental Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺮﻛﺰ ﺍﻟﺒﻴﻠﺴﺎﻥ ﺍﻟﺤﺪﻳﺚ ﻟﻄﺐ ﺍﻻﺳﻨﺎ‬4992588 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Asser M. Wagdi Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺪﻛﺘﻮﺭ ﺁﺳﺮ ﻭﺟﺪﻱ ﻟﻸﺳﻨﺎﻥ‬4621659 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Salamah Medical Center ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻼﻣﺔ‬4113289 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Fursan Medical Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺮﻛﺰ ﺍﻟﻔﺮﺳﺎﻥ ﺍﻟﻄﺒﻲ‬2296670 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Omc Medical Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﻛﺘﻮﺭ ﻋﻤﺮ ﻓﺮﻳﺪ ﺍﻟﺴﻠﻴﻢ‬4123165 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Barraqah Medical Center ‫ ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﺑﺮﺍﻗﺔ ﺍﻟﻄﺒﻴﺔ‬2066401 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Makkah National Dispensary ‫ ﻣﺴﺘﻮﺻﻒ ﻣﻜﺔ ﺍﻻﻫﻠﻲ‬4765548 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel 32 Dental ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﺛﻨﺎﻥ ﻭﺛﻼﺛﻮﻥ ﻟﻄﺐ ﻭﺗﻘﻮﻳﻦ ﺍﻻﺳﻨﺎ‬2070498 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Nazeem National Polyclinic ‫ ﻣﺠﻤﻊ ﺍﻟﻨﻈﻴﻢ ﺍﻟﻮﻃﻨﻲ ﺍﻟﻄﺒﻲ‬2463331 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Amat Medical Clinic ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻣﺎﺕ ﺍﻟﻄﺒﻲ‬8105957 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Eye World Optical ‫ ﻣﺮﻛﺰ ﻋﺎﻟﻢ ﺍﻟﻌﻴﻮﻥ‬2053023 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Salman Optics ‫ ﻧﻈﺎﺭﺍﺕ ﺍﻟﺴﻠﻤﺎﻥ‬4034151 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel KTDOQI ‫ ﻣﺠﻤﻊ ﺍﻟﺪﻛﺘﻮﺭ ﻋﻠﻲ ﺍﻟﻠﻬﺒﻲ ﺍﻟﻄﺒﻲ ﻷﻣﺮﺍﺽ ﻭﻏﺴﻲ‬2811205 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Toya Medical Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺗﻮﻳﺎ ﺍﻟﻄﺒﻴﺔ‬4625354 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Shammel & Denatl Center ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺮﻛﺰ ﺍﻟﺸﺎﻣﻞ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬4935111 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Safwa Hospital ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺼﻔﻮﺓ‬2885444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Magrabi Hospital - Eye,Ent, (Riyadh‫ ﻭ ﺍﻟﺤﻨﺠﺮ ﻭ ﺍﻷﺫﻥ ﻣﺴﺘﺸﻔﻰ ﻣﻐﺮﺑﻲ ﻟﻠﻌﻴﻮﻥ ﻭﺍﻷﻧﻒ‬4705656 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Jamayel Medical Polyclinic ‫ ( ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺟﻤﺎﻳﻞ ﺍﻟﻄﺒﻴﺔ‬1 ) 2671117 Page 52 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Donia Al-Noor Optical ‫ ﻣﺮﻛﺰ ﺩﻧﻴﺎ ﺍﻟﻨﻮﺭ ﻟﻠﺒﺼﺮﻳﺎﺕ‬2177008 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Hakim Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻜﻴﻢ ﺍﻟﻄﺒﻲ‬114304747 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel National Blood & Cancer Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻤﺮﻛﺰ ﺍﻟﻮﻃﻨﻲ ﻷﻣﺮﺍﺽ ﺍﻟﺪﻡ ﻭﺍﻷﻭﺭ‬2881144 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Pearl Dental And Derma Clinics ‫ ﻭ ﺍﻟﺠﻠﺪﻳﺔ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﻴﺮﻝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬2632424 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Alazhar Opticals ‫ ﺑﺼﺮﻳﺎﺕ ﺍﻻﺯﻫﺎﺭ‬2096004 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Smile Experts Dental Center ‫ ﻣﺮﻛﺰ ﺧﺒﺮﺍﺀ ﺍﻟﺒﺴﻤﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬2754941 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel D / Abdulfatah Alhorani Clinic ‫ ﺩ ﻋﺒﺪ ﺍﻟﻔﺘﺎﺡ ﺍﻟﺤﻮﺭﺍﻧﻲ ﻋﻴﺎﺩﺍﺕ‬4651868 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Fahad Dental Center 3 ‫ﻣﺮﻛﺰ ﻓﻬﺪ ﺍﻟﺜﺎﻟﺚ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ 459509 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Worof Medical Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻭﺭﻭﻑ ﺍﻟﻄﺒﻲ‬2755500 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Adwa Al Eilaj Complex 1 ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﺿﻮﺍﺀ ﺍﻟﻌﻼﺝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ 2983170 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Bait Al Elaj Dental Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﺑﻴﺖ ﺍﻟﻌﻼﺝ ﻟﻄﺐ ﻭﺗﻘﻮﻳﻢ ﺍﻷﺳﻨﺎﻥ‬4230085 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Adwa Al Eilaj Complex 2 ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺃﺿﻮﺍﺀ ﺍﻟﻌﻼﺝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ 4963960 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Adwa Al Alami Dental Polyclinic 2 ‫ ﻣﺴﺘﻮﺻﻒ ﺃﺿﻮﺍﺀ ﺍﻟﻄﺐ ﺍﻟﻌﺎﻟﻤﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬4702211 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Fairouz Al Ahli Clinic ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﻴﺮﻭﺯ ﺍﻻﻫﻠﻲ‬4239234 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ahli Najah Clinic ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻨﺠﺎﺡ ﺍﻻﻫﻠﻲ‬4115413 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Home Dental Poly Clinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﺍﺭ ﺍﻷﺳﻨﺎﻥ‬2272100 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Nakheel Medical Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻨﺨﻴﻞ ﺍﻟﻄﺒﻲ‬2705022 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Vitamin Consultative Center 4 ‫ ( ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﻣﺮﻛﺰ ﻓﻴﺘﺎﻣﻴﻦ ﺍﻻﺳﺘﺸﺎﺭﻱ‬4 2793333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Eman S. Al Abra Medical Center‫ ﺍﻝ‬- ‫ ﺍﻳﻤﺎﻥ ﺳﻠﻴﻤﺎﻥ ﺍﻟﻌﺒﺮﻩ‬/ ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺪﻛﺘﻮﺭﺓ‬2401164 Page 53 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Sheblan Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﺒﻼﻥ‬4606600 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Lolouat Al Aaj Dental Clinics ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻟﺆﻟﺆﺓ ﺍﻟﻌﺎﺝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬2477301 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Algharb Altakhassusi Hospital Comp ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻐﺮﺏ ﺍﻟﺘﺨﺼﺼﻲ ﻟﻠﺮﻋﺎﻳﺔ ﺍﻟﻄﺒﻴﻪ‬4622224 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Sulaiman Al Habib - Maternity H ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺪﻛﺘﻮﺭ ﺳﻠﻴﻤﺎﻥ ﺍﻟﺤﺒﻴﺐ ﻟﻠﻮﻻﺩﺓ‬ 0 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel The Consultants Opticals ‫ ﺍﻻﺳﺘﺸﺎﺭﻳﻮﻥ ﻟﻠﺒﺼﺮﻳﺎﺕ‬4616161 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr Abdulelah Alo Bikan Medical Com ‫ ﻋﺒﺪﺍﻻﻟﻪ ﺍﻟﻌﺒﻴﻜﺎﻥ‬/ ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺪﻛﺘﻮﺭ‬2077177 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Class Optical ‫ ﺍﻟﻨﻈﺎﺭﺍﺕ ﺍﻟﺮﺍﻗﻴﺔ‬4742222 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr Al Qannas Dental Clinics ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺪﻛﺘﻮﺭ ﻣﺮﺯﻭﻕ ﺣﺴﻴﻦ ﺍﻟﻴﺎﻣﻲ‬4899224 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Hallo Doctor Medical Center ‫ ﺟﻤﻴﻊ ﺍﻟﺘﺨﺼﺺ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻫﻼ ﺩﻛﺘﻮﺭ ﺍﻟﻄﺒﻲ‬920002116 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Hakim Oyoen Optics ‫ ﺣﻜﻴﻢ ﺍﻟﻌﻴﻮﻥ ﻟﻠﺒﺼﺮﻳﺎﺕ‬2694960 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Majd Family Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﺃﺳﺮﺓ ﺍﻟﻤﺠﺪ ﺍﻟﻄﺒﻲ‬4182228 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Laith Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﻟﻴﺚ ﺍﻟﻄﺒﻲ‬12415154 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Bin Rushd Optical ‫ ﻣﺮﻛﺰ ﺍﺑﻦ ﺭﺷﺪ ﻟﻠﺒﺼﺮﻳﺎﺕ‬4622254 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Wahat Attadawy Medical Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻭﺍﺣﺔ ﺍﻟﺘﺪﻭﺍﻱ ﺍﻟﻄﺒﻲ‬1 2744433 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Bader Optical ‫ ﻣﺮﻛﺰ ﺍﻟﺒﺪﺭ ﻟﻠﺒﺼﺮﻳﺎﺕ‬4806477 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Khobaraa Alelaj Polyclinic ‫ ﻣﺠﻤﻊ ﺧﺒﺮﺍﺀ ﺍﻟﻌﻼﺝ ﺍﻟﻄﺒﻲ‬4887473 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ruaya Eye Center ‫ ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﺍﻟﺮﺅﻳﺔ ﺍﻟﺪﻭﻟﻴﺔ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻟﻄﺒﻴﺔ‬4613131 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dent Medical Center ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﻧﺖ ﺍﻟﻄﺒﻲ‬2108833 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel British Center For Beauty & Smile ‫ﺃﺳﻨﺎﻥ‬-‫ ﺍﻟﻤﺮﻛﺰ ﺍﻟﺒﺮﻳﻄﺎﻧﻲ ﻟﻠﺠﻤﺎﻝ ﻭﺍﻹﺑﺘﺴﺎﻣﺔ‬2795555 Page 54 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Provider Name Pioneers Specialist Medical Center Provider Name Al Momiez Dental Care Provider Name Jarir Medical Center Provider Name Dawali Clinics Provider Name Fayha Health Medical Clinic Provider Name Eye World Center Provider Name Dar Elelaj Optical Provider Name Savvy Dental Center Provider Name Diamond Shine Dental Center Provider Name Mouwasat Hospital Al Riyadh Provider Name Abad Specialized Clinics - Ruh Provider Name Genat Medical Complex Provider Name Victoria Hospital Provider Name Dura Typical Medical Clinic Provider Name Dar Al Qasr Optical Center Provider Name Al Raheema Medical Center Provider Name Unique Dental Care Provider Name Vitamin Consultative Center 2 Provider Name Vitamin Consultative Center 3

RIYADH ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺮﻛﺰ ﺍﻟﺮﻭﺍﺩ ﺍﻟﺘﺨﺼﺼﻲ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻟﻤﻤﻴﺰ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺮﻛﺰ ﺟﺮﻳﺮ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﻭﺍﻟﻲ‬1 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺮﻛﺰ ﺻﺤﺔ ﺍﻟﻔﻴﺤﺎﺀ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻋﺎﻟﻢ ﺍﻟﻌﻴﻮﻥ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﺩﺍﺭ ﺍﻟﻌﻼﺝ ﻟﻠﺒﺼﺮﻳﺎﺕ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺳﺎﻓﻲ ﺍﻟﻄﺒﻴﺔ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻭﻫﺞ ﺍﻟﻤﺎﺳﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺴﺘﺸﻔﻲ ﺍﻟﻤﻮﺍﺳﺎﺓ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺴﻠﻴﻤﺎﻧﻴﺔ‬- ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﺑﺎﺩ ﺍﻟﺘﺨﺼﺼﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺟﻴﻨﺎﺕ ﺍﻟﻄﺒﻴﺔ‬1 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﺷﺮﻛﺔ ﻣﺴﺘﺸﻔﻰ ﻓﻜﺘﻮﺭﻳﺎ ﺍﻟﻄﺒﻲ ﺍﻟﺴﻌﻮﺩﻱ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺴﺘﻮﺻﻒ ﺩﺭﺓ ﺍﻟﻨﻤﻮﺫﺟﻲ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺮﻛﺰ ﺩﺍﺭ ﺍﻟﻘﺼﺮ ﻟﻠﺒﺼﺮﻳﺎﺕ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺮﻛﺰ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﺮﺣﻴﻤﺔ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺠﻤﻊ ﺍﻟﺮﻋﺎﻳﺔ ﺍﻟﻔﺮﻳﺪﺓ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﻣﺮﻛﺰ ﻓﻴﺘﺎﻣﻴﻦ ﺍﻻﺳﺘﺸﺎﺭﻱ‬2 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﻣﺮﻛﺰ ﻓﻴﺘﺎﻣﻴﻦ ﺍﻻﺳﺘﺸﺎﺭﻱ‬3 Page 55 of 64

class Tel 2130011 Tel 4236444 Tel 4777471 Tel 2005787 Tel 112315810 Tel 2163999 Tel 114258933 Tel 114603322 Tel 114102033 Tel 114130000 Tel 2016677 Tel 4454161 Tel 2097777 Tel 2462627 Tel 8109992 Tel 2293232 Tel 8105050 Tel 2276565 Tel 2345555

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

‫‪12-Nov-2015‬‬

‫‪Policy Providers List‬‬

‫‪VIP‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬ ‫‪Y‬‬

‫‪class‬‬ ‫‪Tel‬‬ ‫‪2220222‬‬ ‫‪Tel‬‬ ‫‪2788588‬‬ ‫‪Tel‬‬ ‫‪2716188‬‬ ‫‪Tel‬‬ ‫‪4660222‬‬ ‫‪Tel‬‬ ‫‪4367777‬‬ ‫‪Tel‬‬ ‫‪4567070‬‬ ‫‪Tel‬‬ ‫‪2017733‬‬ ‫‪Tel‬‬ ‫‪920005957‬‬ ‫‪Tel‬‬ ‫‪2105017‬‬ ‫‪Tel‬‬ ‫‪4555843‬‬ ‫‪Tel‬‬ ‫‪112068800‬‬ ‫‪Tel‬‬ ‫‪112475371‬‬ ‫‪Tel‬‬ ‫‪920009131‬‬ ‫‪Tel‬‬ ‫‪112404222‬‬ ‫‪Tel‬‬ ‫‪114262226‬‬ ‫‪Tel‬‬ ‫‪920008117‬‬ ‫‪Tel‬‬ ‫‪114311094‬‬ ‫‪Tel‬‬ ‫‪14611391‬‬ ‫‪Tel‬‬ ‫‪112179000‬‬

‫‪11275731‬‬

‫‪QUOTATION NO :‬‬

‫‪11275731/Medical/1/1/2015‬‬

‫‪REFFERANCE :‬‬

‫‪Urs Saudi Arabia‬‬

‫‪CLIENT NAME :‬‬

‫‪City‬‬ ‫‪RIYADH‬‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Fal Alafia Polyclinic‬‬ ‫ﻣﺠﻤﻊ ﻓﺎﻝ ﺍﻟﻌﺎﻓﻴﺔ ﺍﻟﻄﺒﻲ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Smile World Optical‬‬ ‫ﻣﺮﻛﺰ ﻋﺎﻟﻢ ﺍﻻﺑﺘﺴﺎﻣﺔ ﻟﻠﺒﺼﺮﻳﺎﺕ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Family Service Medical Complex‬‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺧﺪﻣﺔ ﺍﻷﺳﺮﺓ ﺍﻟﻄﺒﻲ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Azallal Dental,Derma Center‬‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻟﺰﻻﻝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ﻭﺍﻟﺠﻠﺪﻱ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Dr. Azallal Medical Center 2‬‬ ‫ﺩ‪/‬ﻣﺴﺎﻋﺪ ﻋﺒﺪﺍﻟﻌﺰﻳﺰ ﺍﻟﺰﻻﻝ ﺍﻟﻄﺒﻲ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Kental Dental Center 2‬‬ ‫‪ 2‬ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺮﻛﺰ ﻛﻨﺘﺎﻝ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪The Clinics‬‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺃﻃﺒﺎﺅﻛﻢ ﺍﻟﻄﺒﻲ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Specialist Medical Group‬‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺨﺪﻣﺎﺕ ﺍﻟﺼﺤﻴﺔ ﻭﺍﻟﺘﻮﻇﻴﻒ ﺍﻟﻄﺒﻲ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Ram Dental Care 13‬‬ ‫‪ 13‬ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﺍﻡ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Bros Dental Clinics‬‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﺮﻭﺯ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Al Jamil Optical Trading Est.‬‬ ‫ﻣﺆﺳﺴﺔ ﻧﻈﺎﺭﺍﺕ ﺍﻟﺠﻤﻴﻞ ﺍﻟﺘﺠﺎﺭﻳﺔ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Basmat Al Farabi Detnal Clinics 19‬‬ ‫‪ 19‬ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﺴﻤﺔ ﺍﻟﻔﺎﺭﺍﺑﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Al W.S.J Medical - Riyadh‬‬ ‫ﻣﺠﻤﻊ ﺷﺮﻛﺔ ﺍﻟﻮﺳﺞ ﺍﻟﻄﺒﻲ ‪ -‬ﺍﻟﺮﻳﺎﺽ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Al Elaj International Medical‬‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻟﻌﻼﺝ ﺍﻟﺪﻭﻟﻴﺔ ﺍﻟﻄﺒﻴﺔ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻟﻜﻮﻥ ﺍﻟﻄﺒﻴﺔ ﺍﻟﺪﻭﻟﻴﺔ ‪ -‬ﺍﺑﻦ ﺭ ''‪Alcon Medical Co. Bin Rushd ''2‬‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Esteshari Dental Center‬‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﻣﺮﻛﺰ ﺍﺳﺘﺸﺎﺭﻱ ﺍﻷﺳﻨﺎﻥ ﺍﻟﻄﺐ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Faris Aljazera Clinic‬‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻓﺎﺭﺱ ﺍﻟﺠﺰﻳﺮﺓ ﺍﻟﻄﺒﻲ ‪ -‬ﺍﻟﺮﻳﺎﺽ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪New Era Optics‬‬ ‫ﻣﺮﻛﺰ ﺍﻟﻌﺼﺮ ﺍﻟﺠﺪﻳﺪ ﻟﻠﻨﻈﺎﺭﺍﺕ ‪ -‬ﺍﻟﺮﻳﺎﺽ‬ ‫‪Provider Name‬‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫‪Saudi Surgeons Medical Center‬‬ ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺠﺮﺍﺣﻴﻦ ﺍﻟﺴﻌﻮﺩﻳﻴﻦ ‪ -‬ﺍﻟﺮﻳﺎﺽ‬ ‫‪Page 56 of 64‬‬

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Basmat Al Farabi Dental Clinics 18 ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﺴﻤﺔ ﺍﻟﻔﺎﺭﺍﺑﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬18 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Ram Dental Care 12 ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﺍﻡ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬12 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Madar Al-Shifa Dental Polyclinic 2 ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎﺀ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬2 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Demas Specialized Dental Clinics ‫ﻣﺠﻤﻊ ﺩﻳﻤﺎﺱ ﺍﻟﺘﺨﺼﺼﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ﻭﺍﻟﺠﻠﺪﻳﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Sahafa Medical Center ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﺼﺤﺎﻓﺔ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al-Farabi Top Dental Clinics ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻗﻤﺔ ﺍﻟﻔﺎﺭﺍﺑﻲ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬3 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Taleen Medical Company ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺗﺎﻟﻴﻦ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ﻭﺍﻟﺠﻠﺪﻳﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dorrat Al Elaj Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺩﺭﺓ ﺍﻟﻌﻼﺝ ﺍﻟﻄﺒﻲ‬1 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Barakat Hearing Care Center ‫ﻣﺮﻛﺰ ﺍﻟﺒﺮﻛﺎﺕ ﻟﻠﻌﻨﺎﻳﺔ ﺍﻟﺴﻤﻌﻴﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Lavender Medical Clinics Company ‫ ﺍﻟﺮﻳﺎﺽ‬- 1 ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﺍﻟﻼﻓﻨﺪﺭ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Mohamed Abdul Latif Basha Medica ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺷﺮﻛﺔ ﻣﺤﻤﺪ ﻋﺒﺪﺍﻟﻠﻄﻴﻒ ﺑﺎﺷﺔ ﻭﺷﺮ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al-Ewan Medical Polyclinics ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻻﻳﻮﺍﻥ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al-Najmah Polyclinic ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻨﺠﻤﺔ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ My Care Medical Polyclinic ‫ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﻋﺎﻳﺘﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Omar Al-Ajaji Medical Complex ‫ﻣﺠﻤﻊ ﻋﻤﺮ ﺍﻟﻌﺠﺎﺟﻲ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Azizia Nat. Med. Clinic Cen.- Riya ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻟﻌﺰﻳﺰﻳﻪ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Badeah Consultative Clinics - Riyad ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻋﻴﺎﺩﺍﺕ ﺍﻟﺒﺪﻳﻌﻪ ﺍﻻﺳﺘﺸﺎﺭﻳﻪ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Medical Consultants Polyclinic - Riya ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﻣﺮﻛﺰ ﺍﻻﻃﺒﺎﺀ ﺍﻻﺳﺘﺸﺎﺭﻳﻮﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ The Eye Consultants - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ﺍﻻﺳﺘﺸﺎﺭﻳﻮﻥ ﻟﻄﺐ ﺍﻟﻌﻴﻮﻥ‬ Page 57 of 64

class Tel 12098184 Tel 14959485 Tel 14862828 Tel 920003492 Tel 920022717 Tel 114484456 Tel 112020111 Tel 114217299 Tel 114777127 Tel 112301666 Tel 112911861 Tel 114631606 Tel 1012413188 Tel 172212010 Tel 4081122 Tel 4956127 Tel 14320666 Tel 4633371 Tel 4616161

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City RIYADH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Medical World Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻋﺎﻟﻢ ﺍﻟﻄﺐ‬4731313 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Mobarak Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻤﺒﺎﺭﻙ‬14015282 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr.Abdulrahman Al Mishari Hospita ‫ ﻋﺒﺪ ﺍﻟﺮﺣﻤﻦ ﺍﻟﻤﺸﺎﺭﻱ ﻣﺴﺘﺸﻔﻰ‬/ ‫ ﺩ‬4657700 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Consulting Clinics - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻻﺳﺘﺸﺎﺭﻳﻪ‬14659100 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Mustawsaf Oleya Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﻠﻴﺎ‬4632691 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Hammadi Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺤﻤﺎﺩﻱ‬114622000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dallah Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺩﻟﻪ‬14702911 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Riyadh Medical Center - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺍﻟﺮﻳﺎﺽ ﺍﻟﻄﺒﻲ‬4651448 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Gnp Polyclinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ ﻣﺴﺘﻮﺻﻒ‬- ‫ﻏﺴﺎﻥ ﻧﺠﻴﺐ ﻓﺮﻋﻮﻥ‬.‫ ﺩ‬4645221 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Green Crescent Health Services- Riya ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻬﻼﻝ ﺍﻻﺧﻀﺮ‬14644434 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Transad Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺮﻛﺰ ﺗﺮﺍﻧﺴﺎﺩ ﻟﻠﺨﺪﻣﺎﺕ ﺍﻟﻄﺒﻴﻪ‬4645050 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Riyadh National Hospital - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺮﻳﺎﺽ ﺍﻟﻮﻃﻨﻲ‬4761211 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Riyadh Care Hospital- Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺭﻋﺎﻳﺔ ﺍﻟﺮﻳﺎﺽ‬14933000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Bustan Medical Complex- Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺒﺴﺘﺎﻥ ﺍﻟﻄﺒﻲ‬14582140 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Washem Medical Clinic - Riyadh ‫ ﺍﻟﺮﻳﺎﺽ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻮﺷﻢ ﺍﻟﻄﺒﻲ‬4013170 City RIYADH AL-KABRA class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Flaiw Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻔﻠﻴﻮ ﺍﻟﻄﺒﻲ‬163342902 City SABT AL-ALAYA class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Azhar Polyclinic - Sabt Al Alaya ‫ ﺳﺒﺖ ﺍﻟﻌﻼﻳﺎ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﺯﻫﺎﺭ‬76300888 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Family Care Specialist Polyclinic - Sa ‫ ﺳﺒﺖ ﺍﻟﻌﻼﻱ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺭﻋﺎﻳﺔ ﺍﻷﺳﺮﺓ ﺍﻟﺘﺨﺼﺼﻲ‬76301152 Page 58 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y Y Y Y Y VIP Y VIP Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Provider Name Naser Maraya Plolyclinic Provider Name Al Emeis National Hospital - Jizan City Provider Name Dispensary Al Safa Social Clinic - Saf Provider Name Salamatek Dispensary - Safwa Provider Name Specialized Complex - Safwa Provider Name Sama Smile Dental Center Provider Name Nahaj Al-Shifaa General Medical Com City Provider Name Al Naser Medical Clinic Provider Name Al Thalg Clinic - Skaka Provider Name Al Hikmah Medical Clinic - Jouf Provider Name Zahraa Al Jouf Medical Polyclinic - S Provider Name Al Razi Dental Center - Skaka Provider Name Amass Polyclinic Complex Provider Name Al Huzeim Medical Group - Sakaka Provider Name Al Hamad Clinic - Sakaka City Provider Name Abas Corner Medical Complex - Shaq City Provider Name Al Jazerah Polyclinic - Sharoura

SABYA class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺴﺘﻮﺻﻒ ﻧﺎﺻﺮ ﻣﺮﻳﻊ ﺑﺼﺒﻴﺎ‬173221990 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺟﻴﺰﺍﻥ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻌﻤﻴﺲ ﺍﻷﻫﻠﻲ‬73266633 SAFWA class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺻﻔﻮﻯ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺟﻤﻌﻴﺔ ﺍﻟﺼﻔﺎ‬36642193 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺻﻔﻮﻯ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺳﻼﻣﺘﻚ ﺍﻷﻫﻠﻲ‬36642193 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺠﻤﻊ ﺍﻟﻌﻴﺎﺩﺍﺕ ﺍﻟﺘﺨﺼﺼﻴﺔ ﺑﺼﻔﻮﻯ‬36644116 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺠﻤﻊ ﻣﺮﻛﺰ ﺳﻤﺎ ﺍﻹﺑﺘﺴﺎﻣﺔ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬6633096 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺷﺮﻛﺔ ﻣﺠﻤﻊ ﻧﻬﺞ ﺍﻟﺸﻔﺎﺀ ﺍﻟﻄﺒﻲ‬138467999 SAKAKA class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻨﺼﺮ‬46249666 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺳﻜﺎﻛﺎ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺜﻠﺞ‬46251444 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺠﻮﻑ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻜﻤﺔ‬46332009 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺳﻜﺎﻛﺎ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺯﻫﺮﺍﺀ ﺍﻟﺠﻮﻑ ﺍﻟﻄﺒﻲ‬46244442 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺳﻜﺎﻛﺎ‬- ‫ ﻣﺠﻤﻊ ﺭﻛﻦ ﺍﻟﺮﺍﺯﻱ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬46250152 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺠﻤﻊ ﺃﻣﺎﺱ ﺍﻟﻄﺒﻲ‬6256565 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺳﻜﺎﻛﺎ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻨﺎﻥ‬46241355 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺳﻜﺎﻛﺎ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺤﻤﺪ‬46248888 SHAQRA class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺷﻘﺮﺍﺀ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺭﻛﻦ ﺃﺑﺎﺱ ﺍﻟﻄﺒﻲ‬16223166 SHAROURA class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺷﺮﻭﺭﺓ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺠﺰﻳﺮﺓ ﺍﻟﻄﺒﻲ‬75321966 Page 59 of 64

VIP Y Y VIP Y Y Y Y Y VIP Y Y Y Y Y Y Y Y VIP Y VIP Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City SIHAT Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Sadiq Hospital - Sihat ‫ ﺳﻴﻬﺎﺕ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻟﺼﺎﺩﻕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Mudar Charitable Soc. Disp. Sihat ‫ ﺳﻴﻬﺎﺕ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺟﻤﻌﻴﺔ ﻣﻀﺮ ﺍﻟﺨﻴﺮﻳﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Wazzan Vision ‫ ﺍﻟﻘﻄﻴﻒ‬- ‫ﻧﻈﺎﺭﺍﺕ ﺍﻟﻮﺯﺍﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Rubban Medical Centre - Saihat ‫ ﺳﻴﻬﺎﺕ‬- ‫ﻣﺠﻤﻊ ﺍﻟﺮﺑﺎﻥ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Zuhair Al Shuwekhat Optical Cente ‫ﻧﻈﺎﺭﺍﺕ ﺯﻫﻴﺮ ﺍﻟﺸﻮﻳﺨﺎﺕ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Madlooh Clinic -Sihat ‫ ﺳﻴﻬﺎﺕ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺪﻟﻮﺡ‬ City SULAYYEL Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Solail National Clinic - Sulayyel ‫ ﺍﻟﺴﻠﻴﻞ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺴﻠﻴﻞ ﺍﻷﻫﻠﻲ‬ City TABARJAL Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Duaiga National Clinic - Tabarjal ‫ ﻃﺒﺮﺟﻞ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺪﻋﻴﺠﺎﺀ ﺍﻷﻫﻠﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Gulf Family Medical Center - Tabarj ‫ ﻃﺒﺮﺟﻞ‬- ‫ﻣﺠﻤﻊ ﺍﻷﺳﺮﺓ ﺍﻟﺨﻠﻴﺠﻴﺔ‬ City TABUK Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Al Shefa Medical Polyclinic - Tabuk ‫ ﺗﺒﻮﻙ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺸﻔﺎﺀ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Prince Fahad Bin Sultan Hospital Co ‫ﺗﺒﻮﻙ‬- ‫ﻣﺴﺘﺸﻔﻰ ﺍﻷﻣﻴﺮ ﻓﻬﺪ ﺑﻦ ﺳﻠﻄﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Mabasem Polyclinic - Tabuk ‫ ﺗﺒﻮﻙ‬- ‫ﻣﺴﺘﻮﺻﻒ ﻣﺒﺎﺳﻢ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Nibras Al Jazeerah Medical Clinic - T ‫ﻣﺴﺘﻮﺻﻒ ﻧﺒﺮﺍﺱ ﺍﻟﺠﺰﻳﺮﺓ ﺍﻟﻄﺒﻲ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dorat Okaz Polyclinic - Tabuk ‫ ﺗﺒﻮﻙ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺩﺭﺓ ﻋﻜﺎﻅ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Health Gulf Polyclinic - Tabuk ‫ ﺗﺒﻮﻙ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺧﻠﻴﺞ ﺍﻟﺼﺤﺔ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dar Al Razi Dental Polyclinic (1) - Ma ‫ ﺍﻟﻤﻨﺶ‬- (1) ‫ﻣﺴﺘﻮﺻﻒ ﺩﺍﺭ ﺍﻟﺮﺍﺯﻱ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dar Al Razi Dental Polyclinic (2) - Su ‫ ﺍﻟﺴﻠﻴﻢ‬-(2) ‫ﻣﺴﺘﻮﺻﻒ ﺩﺍﺭ ﺍﻟﺮﺍﺯﻱ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬ Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Dart Alkindy Dental Clinic ‫ﻣﺠﻤﻊ ﺩﺍﺭﺓ ﺍﻟﻜﻨﺪﻱ ﻟﻄﺐ ﺍﻻﺳﻨﺎﻥ‬ Page 60 of 64

class Tel 38500156 Tel 38541869 Tel 38524074 Tel 38387402 Tel 38394200 Tel 38500208 class Tel 17820871 class Tel 46280445 Tel 46288880 class Tel 44224236 Tel 44282525 Tel 44228840 Tel 44211490 Tel 44234999 Tel 44211113 Tel 44231354 Tel 44239031 Tel 44228228

VIP Y Y Y Y Y Y VIP Y VIP Y Y VIP Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City TABUK class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Arjan Medical Polyclinic ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻌﺮﺟﺎﻥ‬44245199 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Atfain Anideal Collective Clinics ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻌﻄﻔﻴﻦ ﺍﻟﻨﻤﻮﺫﺟﻴﺔ‬44283355 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Masar Al Seha Medical Center ‫ ﻣﺠﻤﻊ ﻣﺴﺎﺭ ﺍﻟﺼﺤﺔ ﺍﻟﻄﺒﻲ‬44295000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ibn Hayan Opticals ‫ ﻣﺤﻞ ﺍﺑﻦ ﺣﻴﺎﻥ ﻟﻠﻨﻈﺎﺭﺍﺕ ﺍﻟﻄﺒﻴﺔ‬4281084 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Manaret Al Moroj ‫ ﺗﺒﻮﻙ‬- ‫ ﻣﺠﻤﻊ ﻣﻨﺎﺭﺓ ﺍﻟﻤﺮﻭﺝ ﺍﻟﻄﺒﻲ‬44293363 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Hawra General Hospital ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﺤﻮﺭﺍﺀ ﺍﻟﻌﺎﻡ‬3820700 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Wajh General Hospital ‫ ﻣﺴﺘﺸﻔﻰ ﻣﺤﺎﻓﻈﺔ ﺍﻟﻮﺟﻪ ﺍﻟﻌﺎﻡ‬144424870 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dar Ibn Hayan Medical Complex ‫ ﻣﺠﻤﻊ ﺩﺍﺭ ﺍﺑﻦ ﺣﻴﺎﻥ ﺍﻟﻄﺒﻲ‬144287773 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Affary Polyclinic - Tabuk ‫ ﻧﺠﺮﺍﻥ‬- ‫ ﻣﺠﻤﻊ ﻋﻠﻲ ﻋﻠﻲ ﺍﻟﻌﻔﺎﺭﻱ ﺍﻟﻄﺒﻲ‬44222703 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Tabuk National Polyclinic - Tabuk ‫ ﺗﺒﻮﻙ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺗﺒﻮﻙ ﺍﻷﻫﻠﻲ‬44225545 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Dakhel Polyclinic - Tabuk ‫ ﺗﺒﻮﻙ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺪﺧﻴﻞ‬44227607 City TAIF class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Ebin Sina Medical Clinic - Taif ‫ ﺍﻟﻄﺎﺋﻒ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﺑﻦ ﺳﻴﻨﺎ‬27455140 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Moneer Dental Clinic - Taif ‫ ﺍﻟﻄﺎﺋﻒ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻨﻴﺮ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬27322173 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Gnp Polyclinic - Taif ‫ ﺍﻟﻄﺎﺋﻒ ﻣﺴﺘﻮﺻﻒ‬- ‫ ﻏﺴﺎﻥ ﻧﺠﻴﺐ ﻓﺮﻋﻮﻥ‬.‫ ﺩ‬27327055 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Nahada Hospital - Taif ‫ ﺍﻟﻄﺎﺋﻒ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻨﻬﻀﺔ‬27250600 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel El Mokhtar Clinic - Taif ‫ ﺍﻟﻄﺎﺋﻒ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﺨﺘﺎﺭ‬27252702 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Smile Dental Center ‫ ﺍﻟﻄﺎﺋﻒ‬- ‫ ﻋﻴﺎﺩﺍﺕ ﺳﻤﺎﻳﻞ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬2055050 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Madaar Al Shefa Dental Polyclinic - T ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻣﺪﺍﺭ ﺍﻟﺸﻔﺎ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ ) ﺍﻟﻄﺎﺋﻒ‬27403333 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Samran Medical Polyclinic - Taif ‫ ﺍﻟﻄﺎﺋﻒ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺳﻤﺮﺍﻥ ﺍﻟﻄﺒﻲ‬27451335 Page 61 of 64

VIP Y Y Y Y Y Y Y Y Y Y Y VIP Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Provider Name Al Watan National Clinic - Taif Provider Name Taif Polyclinic - Taif Provider Name Al Ausra Dispensary Provider Name Turki Medical Clinic Complex Provider Name Optical City Provider Name Al Amen Hospital - Taif Provider Name Al Adwani General Hospital - Taif City Provider Name Tanoma Alahlee Dispensary - Tanoum City Provider Name Al Hadi Medical Clinic - Taroot City Provider Name Tathleath National Clinic - Tahleath City Provider Name Silver Crescent Dispensary - Al Thuq City Provider Name Bin Zaabin National Clinic - Turbah City Provider Name Sarya Medical Dispensary - Turaif Provider Name Turaif National Clinic - Turaif Provider Name Al Muna Clinic - Turaif City Provider Name Al Mowadah Clinic - Wadi Al Dawase

TAIF class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﻄﺎﺋﻒ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻮﻃﻦ ﺍﻷﻫﻠﻲ‬27490660 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﻄﺎﺋﻒ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻄﺎﺋﻒ ﺍﻻﻫﻠﻲ‬27433990 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻻﺳﺮﺓ ﺭﻗﻢ‬1 7466980 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺗﺮﻛﻲ ﺍﻟﻄﺒﻲ‬7441111 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻣﺪﻳﻨﺔ ﺍﻟﺒﺼﺮﻳﺎﺕ‬127444433 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﻄﺎﺋﻒ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻷﻣﻴﻦ‬27366100 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﻄﺎﺋﻒ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻟﻌﺪﻭﺍﻧﻲ ﺍﻟﻌﺎﻡ‬27340000 TANOUMAH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺗﻨﻮﻣﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺗﻨﻮﻣﺔ ﺍﻷﻫﻠﻲ‬72827920 TAROOT class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺗﺎﺭﻭﺕ‬- ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻃﺐ ﺍﻟﻬﺎﺩﻱ‬38230333 TATHLEETH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺗﺜﻠﻴﺚ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺗﺜﻠﻴﺚ ﺍﻻﻫﻠﻲ‬17820871 THUQBAH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺍﻟﺜﻘﺒﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻬﻼﻝ ﺍﻟﻔﻀﻲ‬38650005 TURBAH class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﺗﺮﺑﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺑﻦ ﺯﺍﺑﻦ ﺍﻷﻫﻠﻲ‬28221903 Turaif class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻃﺮﻳﻒ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺳﺎﺭﻳﺔ‬46521672 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻃﺮﻳﻒ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻃﺮﻳﻒ‬46520020 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻃﺮﻳﻒ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻨﻰ‬46530091 WADI AL DAWASIR class ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel ‫ ﻭﺍﺩﻱ ﺍﻟﺪﻭﺍﺳﺮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻤﻌﺎﻭﺩﺓ ﺍﻟﻄﺒﻲ‬17844559 Page 62 of 64

VIP Y Y Y Y Y Y Y VIP Y VIP Y VIP Y VIP Y VIP Y VIP Y Y Y VIP Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City WADI AL DAWASIR class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Khamasine Medical Clinic-Wadi A ‫ ﻭﺍﺩﻱ ﺍﻟﺪﻭﺍﺳﺮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺨﻤﺎﺳﻴﻦ ﺍﻷﻫﻠﻲ‬17841539 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Nowaiemah Med. Nat. Clinic - Wa ‫ ﻭﺍﺩﻱ ﺍﻟﺪﻭﺍﺳﺮ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﻨﻮﻳﻌﻤﺔ‬17861495 City WAJH class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Amal Polycl - Oumlj ‫ ﺃﻣﻠﺞ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﻣﻞ‬43822316 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Amal Polyclinic - Al Wajh ‫ ﺍﻟﻮﺟﺔ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻷﻣﻞ‬44420702 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Salamah & Al Hayah Polyclinic - O ‫ ﺃﻣﻠﺞ‬- ‫ ﻣﺠﻤﻊ ﺍﻟﺴﻼﻣﺔ ﻭﺍﻟﺤﻴﺎﺓ ﺍﻟﻄﺒﻲ‬43820222 City YANBU class Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Red Sea Polyclinic - Yanbu ‫ ﻳﻨﺒﻊ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺍﻟﺒﺤﺮ ﺍﻷﺣﻤﺮ‬43223413 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dar Al Shifa'A Polyclinic - Yanbu ‫ ﻳﻨﺒﻊ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﺩﺍﺭ ﺍﻟﺸﻔﺎﺀ‬43221084 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Yanbu National Dispensary - Yanbu ‫ ﻳﻨﺒﻊ‬- ‫ ﻣﺴﺘﻮﺻﻒ ﻳﻨﺒﻊ‬43228024 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Gnp Polyclinic - Yanbu ‫ ﻳﻨﺐ ﻣﺴﺘﻮﺻﻒ‬- ‫ ﻏﺴﺎﻥ ﻧﺠﻴﺐ ﻓﺮﻋﻮﻥ ﻟﻼﺳﻨﺎﻥ‬.‫ ﺩ‬43923222 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Samir Ibrahim Saeedi Gen. Hospital - ‫ ﻳﻨﺒﻊ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺳﻤﻴﺮ ﺇﺑﺮﺍﻫﻴﻢ ﺍﻟﺼﻌﻴﺪﻱ ﺍﻟﻌﺎﻡ‬143915024 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Yanbu National Hospital - Yanbu ‫ ﻳﻨﺒﻊ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﻳﻨﺒﻊ ﺍﻟﻮﻃﻨﻲ‬43962000 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ansari Specialist Hospital - Yanb ‫ ﻳﻨﺒﻊ‬- ‫ ﻣﺴﺘﺸﻔﻰ ﺍﻷﻧﺼﺎﺭﻱ‬43926444 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Dr. Abdulrahman Alwani Polyclinic ‫ ﻳﻨﺒﻊ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ‬- ‫ ﻋﺒﺪﺍﻟﺮﺣﻤﻦ ﺍﻟﻌﻠﻮﻧﻲ‬.‫ ﺩ‬43901902 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Badr Alsham Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺑﺪﺭ ﺍﻟﺸﺎﻡ‬43324111 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Yanbu Specialized Clinics ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻳﻨﺒﻊ ﺍﻟﺘﺨﺼﺼﻴﺔ ﺍﻟﻄﺒﻴﺔ‬3225566 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Al Ansari Optical ‫ ﺍﻷﻧﺼﺎﺭﻱ ﻟﻠﺒﺼﺮﻳﺎﺕ‬143912945 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Royal Commission Polyclinic ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﺍﻟﻬﻴﺌﺔ ﺍﻟﻤﻠﻜﻴﺔ ﺑﻴﻨﺒﻊ ﺍﻟﺼﻨﺎﻋﻴﺔ‬143937700 Provider Name ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ Tel Safa Yanbu Hospital ‫ ﻣﺴﺘﺸﻔﻰ ﺻﻔﺎ ﻳﻨﺒﻊ‬3910000 Page 63 of 64

VIP Y Y VIP Y Y Y VIP Y Y Y Y Y Y Y Y Y Y Y Y Y

12-Nov-2015

Policy Providers List QUOTATION NO :

11275731

REFFERANCE :

11275731/Medical/1/1/2015

CLIENT NAME :

Urs Saudi Arabia

City Provider Name Al Amal Polyclinic - Yanbu Al Bahr Provider Name Al Amal Polycl - Yanbu Al Sinaiya City Provider Name Nabdh Al Wateen Polyclinic - Zulfi Provider Name Kadoon Dental Center 3 Provider Name Al Zulfi Medical Dispensarya - Zulfi

YANBU ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﻳﻨﺒﻊ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻷﻣﻞ ﻳﻨﺒﻊ ﺍﻟﺒﺤﺮ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﻳﻨﺒﻊ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻷﻣﻞ ﻳﻨﺒﻊ ﺍﻟﺼﻨﺎﻋﻴﺔ‬ ZULFI ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺰﻟﻔﻲ‬- ‫ﻣﺠﻤﻊ ﻧﺒﺾ ﺍﻟﻮﺗﻴﻦ ﺍﻟﻄﺒﻲ‬ ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﻣﺠﻤﻊ ﻋﻴﺎﺩﺍﺕ ﻛﺪﻭﻥ ﻟﻄﺐ ﺍﻷﺳﻨﺎﻥ‬3 ‫ﺇﺳﻢ ﻣﻘﺪﻡ ﺍﻟﺨﺪﻣﺔ‬ ‫ ﺍﻟﺰﻟﻔﻲ‬- ‫ﻣﺴﺘﻮﺻﻒ ﺍﻟﺰﻟﻔﻲ‬

Page 64 of 64

class Tel 43225173 Tel 43963076 class Tel 64222777 Tel 4222245 Tel 64225566

VIP Y Y VIP Y Y Y