340B Drug Pricing Program Database
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CAH141337-00 OSF Saint Clare Medical Center (Active)
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Main Details
Name
OSF Saint Clare Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141337-00
Medicare Provider Number
141337
Additional Details
Current Program Status
Active
Registration Date
10/4/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/18/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
OSF HealthCare
Sandra Salverson, SVP Pharmacy Services
(309) 624-8817
Primary Contact
OSF Healthcare
amy krantz, Manager Strategic Reimbursement
(309) 655-2865
Addresses
Street Address
530 Park Ave East
Princeton, IL 61356
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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