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SCH140001-00 GRAHAM HOSPITAL ASSOCIATION (Active)
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Main Details
Name
GRAHAM HOSPITAL ASSOCIATION
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH140001-00
Medicare Provider Number
140001
Additional Details
Current Program Status
Active
Registration Date
4/14/2015
Participating Start Date
7/1/2015
Participating Approval Date
5/22/2015
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Graham Hospital Association
Holly Henline, VP of Ancillary Services & Corporate Compliance Officer
(309) 647-5240 Ext: 2709
Primary Contact
Graham Hospital Association
Corie Christian, Compliance/340B Director
(309) 647-5240 Ext: 2414
Addresses
Street Address
210 W. Walnut Street
Canton, IL 61520
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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