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CAH141334-00 SAINT JOSEPH MEMORIAL HOSPITAL (Active)
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Main Details
Name
SAINT JOSEPH MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141334-00
Medicare Provider Number
141334
Additional Details
Current Program Status
Active
Registration Date
9/1/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/1/2010
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
SIH
Warren Ladner, CFO
(618) 457-5200 Ext: 67130
Primary Contact
Southern Illinois Healthcare - Carbondale, IL
Katelyn Morgan, 340B Coordinator
(618) 457-5200 Ext: 67205
Addresses
Street Address
2 SOUTH HOSPITAL DRIVE
MURPHYSBORO, IL 62966
Billing Address
Southern Illinois Healthcare
1239 E Main St
Carbondale, IL 62901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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