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DSH140127 ADVOCATE BROMENN MEDICAL CENTER (Terminated)
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Main Details
Name
ADVOCATE BROMENN MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140127
Medicare Provider Number
140127
Additional Details
Current Program Status
Terminated
Registration Date
10/4/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/15/2018
Last Recertification Date
Termination Date
Termination Reason
7/1/2019
DSH percentage below statutory minimum
Contacts
Authorizing Official
Advocate Eureka Hospital
Aron Klein, VP Finance
(309) 268-2410
Primary Contact
Advocate Healthcare
Zohra Saleem, 340B Manager
(630) 929-5626
Addresses
Street Address
1304 FRANKLIN AVENUE
NORMAL, IL 61761
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating start date 10/1/2018; Termination date 10/1/2018; Reinstatement date 1/1/2019
10/09/2018
Participated starting 7/1/2016; Terminated 10/1/2016; Reinstated 10/1/2018.
07/13/2018
April 2025
April 2025
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