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CAH141320-07 HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. (DBA Paris Community Hospital) (Approved)
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Main Details
Name
HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. (DBA Paris Community Hospital)
Subdivision Name
Pain Management Clinic - Pain Management Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141320-07
Medicare Provider Number
141320
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/14/2025
Last Recertification Date
Contacts
Authorizing Official
Hospital & Medical Foundation of Paris, Inc.
Martin Donald Adams, Chief Financial Officer
(217) 466-4246
Primary Contact
Hospital & Medical Foundation of Paris, Inc.
Ryan Christopher Bonomo, Pharmacy Manager
(217) 466-4221
Addresses
Street Address
15317 US Highway 150
Paris, IL 61944
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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