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DSH140029 COPLEY MEMORIAL HOSPITAL (Active)
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Main Details
Name
COPLEY MEMORIAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140029
Medicare Provider Number
140029
Additional Details
Current Program Status
Active
Registration Date
3/3/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/3/2008
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Copley Memorial Hospital
Brenda VanWyhe, SENIOR VP FINANCE AND CFO
(630) 898-3565
Primary Contact
Copley Memorial Hospital
Stacey Ries, Deputy General Counsel
(630) 499-4721
Addresses
Street Address
2000 OGDEN AVENUE
AURORA, IL 60504
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/31/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %
10/19/2009
May 2025
May 2025
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