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CAH141331-00 MARSHALL BROWNING HOSPITAL ASSOCIATION (Active)
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Main Details
Name
MARSHALL BROWNING HOSPITAL ASSOCIATION
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141331-00
Medicare Provider Number
141331
Additional Details
Current Program Status
Active
Registration Date
7/18/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/8/2016
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Marshall Browning Hospital Association
Harold Calderon, CFO
(618) 542-2146 Ext: 1420
Primary Contact
Marshall Browning Hospital
Tracy Lynn Schubert, Ancillary Informatics Specialist
(618) 542-1036
Addresses
Street Address
900 NORTH WASHINGTON STREET
DU QUOIN, IL 62832
Billing Address
MARSHALL BROWNING HOSPITAL ASSOCIATION
P.O. BOX 192
DU QUOIN, IL 62832
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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