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DSH140172AD FRANCISCAN HEALTH OLYMPIA FIELDS (Active)
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Main Details
Name
FRANCISCAN HEALTH OLYMPIA FIELDS
Subdivision Name
Franciscan Health Electrophysiology Cardiology Olympia Fields - Electrophysiology Cardiology Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140172AD
Medicare Provider Number
140172
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/24/2024
Last Recertification Date
Contacts
Authorizing Official
Franciscan Alliance
Frank J McHugh, VP Finance - CFO
(708) 747-4000 Ext: 82014
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
3800 W 203rd St Suite 201
Olympia Fields, IL 60461
Billing Address
Franciscan Health Olympia Fields
20201 South Crawford Ave
Olympia Fields, IL 60461
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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