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CAH141301-00 Kirby Medical Center (Active)
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Main Details
Name
Kirby Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141301-00
Medicare Provider Number
141301
Additional Details
Current Program Status
Active
Registration Date
1/14/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/5/2013
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Kirby Medical Center
Steven D. Tenhouse, Chief Executive Officer
(217) 762-2115 Ext: 1501
Primary Contact
Kirby Medical Center
Kimberly Alvis, Chief Financial Officer
(217) 762-1514
Addresses
Street Address
1000 Medical Center Drive
Monticello, IL 61856
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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