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DSH140209B METHODIST MEDICAL CENTER OF ILLINOIS (Terminated)
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Main Details
Name
METHODIST MEDICAL CENTER OF ILLINOIS
Subdivision Name
UnityPoint Health - Rheumatology Infusion Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140209B
Medicare Provider Number
140209
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/29/2016
Last Recertification Date
9/3/2020
Termination Date
Termination Reason
7/1/2021
Site closure
Contacts
Authorizing Official
Methodist Medical Center of Illinois
Keith E. Knepp, CEO
(309) 671-2528
Primary Contact
Methodist Medical Center of Illinois
Alician B. Driscoll, Regional Director of Pharmacy
(309) 672-5625
Addresses
Street Address
900 MAIN ST STE 600
PEORIA, IL 61602-5026
Billing Address
METHODIST MEDICAL CENTER OF ILLINOIS
221 NE Glen Oak Ave.
Peoria, IL 61636
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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