340B Drug Pricing Program Database
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DSH140067AN SAINT FRANCIS MEDICAL CENTER (Active)
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Main Details
Name
SAINT FRANCIS MEDICAL CENTER
Subdivision Name
Wound Healing and Hyperbaric Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140067AN
Medicare Provider Number
140067
Outpatient Facility Provider Number
140067
Additional Details
Current Program Status
Active
Registration Date
7/11/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/29/2014
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
8600 North State Route 91
Peoria, IL 61615
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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