340B Drug Pricing Program Database
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CAH141315-00 Illini Community Hospital (Active)
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Main Details
Name
Illini Community Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141315-00
Medicare Provider Number
141315
Additional Details
Current Program Status
Active
Registration Date
9/29/2017
Participating Start Date
1/1/2014
Participating Approval Date
9/29/2017
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Illini Community Hospital
Holly Jones, Administrator
(217) 285-2113
Primary Contact
Blessing Health
Robert Ritchey, Administrative Director BHS Pharmacy & Supply Chain
(217) 223-8400 Ext: 6411
Addresses
Street Address
640 W. Washington Street
Pittsfield, IL 62363
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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