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DSH140052 OSF SAINT ANTHONY'S HEALTH CENTER (Active)
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Main Details
Name
OSF SAINT ANTHONY'S HEALTH CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140052
Medicare Provider Number
140052
Additional Details
Current Program Status
Active
Registration Date
1/15/2016
Participating Start Date
3/15/2022
Participating Approval Date
2/16/2016
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
OSF HealthCare
Sandra Salverson, SVP Pharmacy Services
(309) 624-8817
Primary Contact
OSF Healthcare
amy krantz, Manager Strategic Reimbursement
(309) 655-2865
Addresses
Street Address
1 SAINT ANTHONYS WAY
ALTON, IL 62002
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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