340B Drug Pricing Program Database
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CH05332CF SIHF Healthcare (Active)
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Main Details
Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare - Mattoon
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032479
340B ID
CH05332CF
Grant Number
H80CS00195
Additional Details
Current Program Status
Active
Registration Date
8/20/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/11/2012
Last Recertification Date
2/22/2025
Contacts
Authorizing Official
SIHF Healthcare
Larry McCulley, President
(618) 332-0694 Ext: 155
Primary Contact
SIHF Healthcare
Patrice M Howard, Senior Vice President
(618) 332-0694
Addresses
Street Address
911 Remington Rd Ste B
Mattoon, IL 61938-4662
Billing Address
SIHF Healthcare
2041 Goose Lake Road
Sauget, IL 62206-2822
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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