Covered Entity Details

DSH140093 OSF SACRED HEART MEDICAL CENTER (Approved)

Main Details

Name

OSF SACRED HEART MEDICAL CENTER

Subdivision Name

Type

Disproportionate Share Hospital

Rural

340B ID

DSH140093

Medicare Provider Number

140093

Additional Details

Current Program Status

Approved

Registration Date

4/7/2025

Participating Start Date

7/1/2025

Participating Approval Date

4/16/2025

Last Recertification Date

Contacts

Authorizing Official

OSF HealthCare
Sandra Salverson, SVP Pharmacy Services
(309) 624-8817

Primary Contact

OSF Healthcare
amy krantz, Manager Strategic Reimbursement
(309) 655-2865

Addresses

Street Address

812 NORTH LOGAN AVENUE
DANVILLE, IL 61832-3752

Billing Address
Same as Street Address

Comment	Last Updated On
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Participated starting 7/1/2014, terminated 4/1/2024. Reinstated 7/1/2025.	04/15/2025
6/25/14 Updated entity name in accordance with name change on prior RRC registration (CR003839 approved 4/10/2013). CE reinstated effective 7/1/2014; was participating from 07/01/2010 to 06/30/2012; not participating from 07/1/2012 to 6/30/2014 due to site reporting DSH % fell below statutory minimum required.	06/25/2014
(reinstatement date - 7/1/2014 – CE reinstated effective 7/1/2014; was participating from 07/01/2010 to 06/30/2012; not participating from 07/1/2012 to 6/30/2014 due to site reporting DSH % fell below statutory minimum required.)	06/13/2014
8/29/2010- ADDED MEDICAID NUMMBER	08/29/2010

340B Drug Pricing Program Database