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CAH141346-00 Sarah Bush Lincoln Fayette County Hospital (Active)
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Main Details
Name
Sarah Bush Lincoln Fayette County Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141346-00
Medicare Provider Number
141346
Additional Details
Current Program Status
Active
Registration Date
10/14/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/2/2022
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Sarah Bush Lincoln Fayette County Hospital
Karen Ann Dyer, CEO
(618) 283-5400
Primary Contact
Sarah Bush Lincoln Fayette County Hospital
Stacy L. Smith, Pharmacy Director
(618) 283-5458
Addresses
Street Address
650 W. Taylor Street
VANDALIA, IL 62471
Billing Address
Sarah Bush Lincoln Health Center
P.O. Box 372
1000 Health Center Dr
Mattoon, IL 61938
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 4/1/2015, Termination Date 10/11/2022, Reinstatement 1/1/2023
10/31/2022
April 2025
April 2025
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