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CAH141345-00 Salem Township Hospital (Active)
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Main Details
Name
Salem Township Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141345-00
Medicare Provider Number
141345
Additional Details
Current Program Status
Active
Registration Date
1/15/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/12/2013
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Salem Township Hospital
Amy Lynn Gray, CFO
(618) 548-3194
Primary Contact
Salem Township Hospital
Lisa Ambuehl, Chief Nursing Officer
(618) 548-3194
Addresses
Street Address
1201 Ricker Drive
Salem, IL 62881
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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