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DSH140172 FRANCISCAN HEALTH OLYMPIA FIELDS (Active)
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Main Details
Name
FRANCISCAN HEALTH OLYMPIA FIELDS
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140172
Medicare Provider Number
140172
Additional Details
Current Program Status
Active
Registration Date
6/17/2011
Participating Start Date
4/1/2015
Participating Approval Date
6/17/2011
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Franciscan Alliance
Frank J McHugh, VP Finance - CFO
(708) 747-4000 Ext: 82014
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
20201 SOUTH CRAWFORD AVE
OLYMPIA FIELDS, IL 60461
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/13/15 participating 7/1/2011 thru 6/30/2012, not participating starting 7/1/2012 because the DSH% fell below the statutory minimum, reinstated effective 4/1/15 based on on-line registration submitted in Jan. 2015; 6/1/11 DOC RECD TO CONFIRM ELIG DSH ADJ %
03/13/2015
6/1/11 DOC RECD TO CONFIRM ELIG DSH ADJ %
06/17/2011
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