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CAH141320-02 HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. (Terminated)
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Main Details
Name
HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC.
Subdivision Name
FAMILY MEDICAL CENTER-KANSAS
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141320-02
Medicare Provider Number
141320
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
3/1/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/10/2011
Last Recertification Date
8/5/2015
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Hospital and Medical Foundation of Paris, Inc.
Oliver M. Smith, CEO
(217) 465-4141 Ext: 218
Primary Contact
Paris Community Hospital
Ryan Christopher Bonomo, Director of Pharmacy
(217) 465-4141 Ext: 4221
Addresses
Street Address
104 EAST BUENA VISTA
KANSAS, IL 61933
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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