340B Drug Pricing Program Database
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DSH140067AC SAINT FRANCIS MEDICAL CENTER (Active)
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Main Details
Name
SAINT FRANCIS MEDICAL CENTER
Subdivision Name
OSF Saint Francis Morton Health Center - SG Komen / Mammography
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140067AC
Medicare Provider Number
140067
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/15/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/27/2012
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
435 Maxine Dr
Morton, IL 61550
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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