340B Drug Pricing Program Database
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CAH141319-00 Henry District Hospital (Active)
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Main Details
Name
Henry District Hospital
Subdivision Name
Hammond Henry Hospital
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141319-00
Medicare Provider Number
141319
Additional Details
Current Program Status
Active
Registration Date
7/16/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/17/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Hammond Henry Hospital
Wyatt Stanley Brieser, Director of Ancillary and Outpatient Services
(309) 944-9233
Primary Contact
Hammond Henry Hospital
April Switzer, Certified Pharmacy Technician
(309) 944-9141
Addresses
Street Address
600 North College Ave
Geneseo, IL 61254-1099
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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