×Success: User Registration Complete * Indicates required field * Organization Type Outpatient Health Care Delivery (ambulatory care, clinics, doctor’s offices, etc) Support Service Providers EMS Home Health Agency Non-governmental Organizations (e.g. American Red Cross, voluntary organizations active in disaster, amateur radio operators, etc.) Infrastructure Company Local Public Safety Agencies (Law Enforcement, Fire Services, etc) Emergency Management Organizations (EMA, GEMA, Homeland Security, etc) Public Health Agency Skilled Nursing, Nursing, and Long Term Care Facilities Schools and Universities (including academic medical centers) Acute Care Hospitals Dialysis Centers and Regional Centers for CMS funded ESRD Local Chapters of Health Care Professional Organizations (e.g. medical society, professional society, hospital association) other Additonal HCC members include, but are not limited to the following: Hospitals and Behavioral Health services and organizations * Organization Name * Address Line 1 Address Line 2 * City * State * Zip * County 1 Select County County 2 s Select County County 3 Select County * Business Phone Emergency Contact Phone Cell Phone * Email Submit
