| Contacts | Authorizing Official | Update | Profile Change Request | Epperson, Justin William
Controller
Hamilton Memorial Hospital
6186435848 | Epperson, Justin William
CFO
Hamilton Memorial Hospital
6186435848 | 3/24/2025 2:21 PM |
| Details | Last Recertification Date | Update | Recertification | 8/24/2023 8:51:41 AM | 8/23/2024 8:54:18 AM | 8/23/2024 8:54 AM |
| Contacts | Primary Contact | Update | Recertification | Bowling, Saundra
Business Office Supervisor
Hamilton Memorial Hospital District
6186432631-5203 | Jackson, Catherine
Business Office Supervisor
Hamilton Memorial Hospital
6186432361-5208 | 8/24/2023 8:51 AM |
| Details | Last Recertification Date | Update | Recertification | 9/5/2022 8:51:23 AM | 8/24/2023 8:51:41 AM | 8/24/2023 8:51 AM |
| Details | Last Recertification Date | Update | Recertification | 9/1/2021 12:15:20 PM | 9/5/2022 8:51:23 AM | 9/5/2022 8:51 AM |
| Details | Last Recertification Date | Update | Recertification | 9/1/2020 8:27:52 AM | 9/1/2021 12:15:20 PM | 9/1/2021 12:15 PM |
| Contacts | Primary Contact | Update | Recertification | Thompson, Sheila
Dir-Revenue Integrity
Hamilton Memorial Hospital District
6186432361-2160 | Bowling, Saundra
Business Office Supervisor
Hamilton Memorial Hospital District
6186432631-5203 | 9/1/2020 8:27 AM |
| Details | Last Recertification Date | Update | Recertification | 8/27/2019 9:53:49 AM | 9/1/2020 8:27:52 AM | 9/1/2020 8:27 AM |
| Details | Last Recertification Date | Update | Recertification | 8/23/2018 11:14:11 AM | 8/27/2019 9:53:49 AM | 8/27/2019 9:53 AM |
| Details | Last Recertification Date | Update | Recertification | 11/7/2017 8:01:36 AM | 8/23/2018 11:14:11 AM | 8/23/2018 11:14 AM |
| Contacts | Primary Contact | Update | Recertification | Thompson, Sheila
Dir-Human Resources
Hamilton Memorial Hospital District
6186432361-2160 | Thompson, Sheila
Dir-Revenue Integrity
Hamilton Memorial Hospital District
6186432361-2160 | 8/23/2018 11:04 AM |
| Contacts | Authorizing Official | Update | AO Change Request | Mitchell, Kent
Chief Financial Officer
Hamilton Memorial Hospital District
6186432361-2490 | Epperson, Justin William
Controller
Hamilton Memorial Hospital
6186435848 | 8/23/2018 10:33 AM |
| Contacts | Primary Contact | Update | Recertification | Mitchell, Kent
Chief Financial Officer
Hamilton Memorial Hospital District
6186432361-2490 | Thompson, Sheila
Dir-Human Resources
Hamilton Memorial Hospital District
6186432361-2160 | 11/7/2017 8:01 AM |
| Details | Last Recertification Date | Update | Recertification | 8/10/2016 12:00:00 AM | 11/7/2017 8:01:36 AM | 11/7/2017 8:01 AM |
| Addresses | Main Address | Insert | | |
611. S. Marshall Avenue
McLeansboro, IL 62859 | 10/28/2016 4:44 PM |
| Addresses | Billing Address | Insert | | | Hamilton Memorial Hospital District
P.O. Box 429
McLeansboro, IL 62859 | 10/28/2016 4:44 PM |
| Contacts | Authorizing Official | Insert | | | Mitchell, Kent
Chief Financial Officer
Hamilton Memorial Hospital District
6186432361-2490 | 10/28/2016 4:44 PM |
| Contacts | Primary Contact | Insert | | | Mitchell, Kent
Chief Financial Officer
Hamilton Memorial Hospital District
6186432361-2490 | 10/28/2016 4:44 PM |
| Contacts | Signed By | Insert | | | Futrell, Bradley D.
Chief Operating Officer
6186432361-2160 | 10/28/2016 4:44 PM |
| Details | Last Recertification Date | Update | | 8/19/2015 12:00:00 AM | 8/10/2016 12:00:00 AM | 8/10/2016 9:42 AM |
| Details | Last Recertification Date | Update | | 8/8/2014 12:00:00 AM | 8/19/2015 12:00:00 AM | 8/19/2015 8:55 AM |
| Details | Last Recertification Date | Update | | | 8/8/2014 12:00:00 AM | 8/8/2014 1:24 PM |
| Dates | Participating Approval Date | Update | | | 4/15/2014 12:00:00 AM | 4/15/2014 8:01 AM |
| Details | State | Update | | Pending | Active | 4/15/2014 8:01 AM |
| Dates | Start Date | Update | | | 7/1/2014 12:00:00 AM | 4/15/2014 8:01 AM |
| Details | 340B ID | Update | | ONLINE_REG | CAH141326-00 | 4/10/2014 6:10 PM |
| Details | Last Recertification Date | Insert | | | | 4/9/2014 12:13 PM |
| Details | Grant Number | Insert | | | | 4/9/2014 12:13 PM |
| Details | 340B ID | Insert | | | ONLINE_REG | 4/9/2014 12:13 PM |
| Details | Is Authorizing Official EHB Data | Insert | | | | 4/9/2014 12:13 PM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 4/9/2014 12:13 PM |
| Details | Medicare Provider Number | Insert | | | 141326 | 4/9/2014 12:13 PM |
| Details | Entity Name | Insert | | | Hamilton Memorial Hospital District | 4/9/2014 12:13 PM |
| Details | Program Code | Insert | | | CAH | 4/9/2014 12:13 PM |
| Details | Entity Subname | Insert | | | | 4/9/2014 12:13 PM |
| Dates | Participating Approval Date | Insert | | | | 4/9/2014 12:13 PM |
| Details | State | Insert | | | Pending | 4/9/2014 12:13 PM |
| Dates | Registration Date | Insert | | | 4/9/2014 12:00:00 AM | 4/9/2014 12:13 PM |
| Dates | Signed By Date | Insert | | | 4/9/2014 12:00:00 AM | 4/9/2014 12:13 PM |
| Dates | Start Date | Insert | | | | 4/9/2014 12:13 PM |
| Terminations | Termination Comments | Insert | | | | 4/9/2014 12:13 PM |
| Terminations | Termination Date | Insert | | | | 4/9/2014 12:13 PM |
| Terminations | Termination Effective Date | Insert | | | | 4/9/2014 12:13 PM |
| Terminations | Termination Reason | Insert | | | | 4/9/2014 12:13 PM |