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DSH140172C FRANCISCAN HEALTH OLYMPIA FIELDS & CHICAGO HEIGHTS (Terminated)
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Main Details
Name
FRANCISCAN HEALTH OLYMPIA FIELDS & CHICAGO HEIGHTS
Subdivision Name
FRANCISCAN HEALTH OLYMPIA FIELDS & CHICAGO HEIGHTS / Recovery CH
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140172C
Medicare Provider Number
140172
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/10/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/11/2015
Last Recertification Date
8/29/2018
Termination Date
Termination Reason
4/1/2019
Site closure
Contacts
Authorizing Official
Franciscan Alliance
Frank J McHugh, VP Finance - CFO
(708) 747-4000 Ext: 82014
Primary Contact
Franciscan Health Olympia Fields and Chicago Heights
Kevin Karstens, Director of Pharmacy
(708) 756-1000 Ext: 56314
Addresses
Street Address
1423 CHICAGO ROAD
CHICAGO HEIGHTS, IL 60411-3400
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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