340B Drug Pricing Program Database
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DSH140091 The Carle Foundation Hospital (Active)
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Main Details
Name
The Carle Foundation Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140091
Medicare Provider Number
140091
Additional Details
Current Program Status
Active
Registration Date
7/20/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Carle Foundation Hospital
Dennis P. Hesch, Executive VP and CFO
(217) 326-8231
Primary Contact
Carle Foundation Hospital
Katie Koch, Director of 340B and Retail Pharmacy Operations
(217) 904-7016
Addresses
Street Address
611 West Park Street
Urbana, IL 61801
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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