340B Drug Pricing Program Database
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CAH141316-38 Carle Hoopeston Regional Health Center (Active)
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Main Details
Name
Carle Hoopeston Regional Health Center
Subdivision Name
CISSNA PARK MEDICAL CLINIC / Family Medicine
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141316-38
Medicare Provider Number
141316
Outpatient Facility Provider Number
143485
Additional Details
Current Program Status
Active
Registration Date
10/14/2014
Participating Start Date
1/1/2015
Participating Approval Date
11/13/2014
Last Recertification Date
9/11/2024
Contacts
Authorizing Official
Carle Foundation Hospital
Dennis P. Hesch, Executive VP and CFO
(217) 326-8231
Primary Contact
Carle Foundation Hospital
Katie Koch, Director of 340B and Retail Pharmacy Operations
(217) 904-7016
Addresses
Street Address
141 W GARFIELD AVE
CISSNA PARK, IL 60924
Billing Address
The Carle Foundation Hospital
611 West Park Street
Urbana, IL 61801-2529
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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