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CAH141320-01 HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. (DBA Paris Community Hospital) (Active)
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Main Details
Name
HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. (DBA Paris Community Hospital)
Subdivision Name
PARIS CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141320-01
Medicare Provider Number
141320
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/1/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/10/2011
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Hospital & Medical Foundation of Paris, Inc.
Martin Donald Adams, Chief Financial Officer
(217) 466-4246
Primary Contact
Paris Community Hospital
Ryan Christopher Bonomo, Director of Pharmacy
(217) 465-4141 Ext: 4221
Addresses
Street Address
727 EAST COURT STREET
PARIS, IL 61944
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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05/09/11 UPDATED ENTITY NAME(WAS PARIS COMMUNITY HOSPITAL)
03/10/2011
April 2025
April 2025
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