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CAH141312-00 ROCHELLE COMMUNITY HOSPITAL (Active)
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Main Details
Name
ROCHELLE COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141312-00
Medicare Provider Number
141312
Additional Details
Current Program Status
Active
Registration Date
9/27/2010
Participating Start Date
9/29/2010
Participating Approval Date
9/27/2010
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Rochelle Community Hospital
Lori Gutierrez, CFO
(815) 561-3108
Primary Contact
Rochelle Community Hospital
Crystal Dawn Carty, Director of Pharmacy
(815) 562-2181 Ext: 1391
Addresses
Street Address
900 N SECOND STREET
ROCHELLE, IL 61068
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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