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CAH141305-00 Memorial Hospital Association (Active)
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Main Details
Name
Memorial Hospital Association
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141305-00
Medicare Provider Number
141305
Additional Details
Current Program Status
Active
Registration Date
10/11/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/18/2012
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Memorial Hospital Assoication
Teresa Smith, CFO
(217) 357-8573
Primary Contact
Memorial Hospital
Ada Bair, CEO
(217) 357-8566
Addresses
Street Address
1454 North Co Road 2050 East
Carthage, IL 62321
Billing Address
Memorial Hospital Association
PO Box 160
Carthage, IL 62321
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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