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CAH141316-39 Carle Hoopeston Regional Health Center (Active)
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Main Details
Name
Carle Hoopeston Regional Health Center
Subdivision Name
Tuscola Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141316-39
Medicare Provider Number
141316
Outpatient Facility Provider Number
143819
Additional Details
Current Program Status
Active
Registration Date
4/14/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/27/2015
Last Recertification Date
8/28/2024
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
301 E. Southline Rd.
Tuscola, IL 61953
Billing Address
The Carle Foundation Hospital
611 West Park Street
Urbana, IL 61801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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