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CAH141308-01 Washington County Hospital (Active)
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Main Details
Name
Washington County Hospital
Subdivision Name
WASHINGTON COUNTY HOSPITAL WALK IN - Rural Health Clinic Mill St
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141308-01
Medicare Provider Number
141308
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/16/2024
Last Recertification Date
Contacts
Authorizing Official
Washington County Hospital
Brian K Monsma, President
(618) 327-8326
Primary Contact
Washington County Hospital
James Lynch, Pharmacist
(618) 327-2316
Addresses
Street Address
1245 S MILL ST
NASHVILLE, IL 62263-2004
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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