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CAH231337-04 St Francis Hospital (Active)
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Main Details
Name
St Francis Hospital
Subdivision Name
OSF Healthcare St. Francis Hospital & Medical Group- Oncology
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231337-04
Medicare Provider Number
231337
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/7/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/14/2016
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
3501 Ludington Street
Escanaba, MI 49829
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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