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CAH141326-01 Hamilton Memorial Hospital District (Active)
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Main Details
Name
Hamilton Memorial Hospital District
Subdivision Name
HAMILTON MEDICAL HOSPITAL DISTRICT / Carmi Family Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141326-01
Medicare Provider Number
141326
Outpatient Facility Provider Number
148529
Additional Details
Current Program Status
Active
Registration Date
10/7/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/28/2016
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Hamilton Memorial Hospital
Justin William Epperson, CFO
(618) 643-5848
Primary Contact
Hamilton Memorial Hospital
Catherine Jackson, Business Office Supervisor
(618) 643-2361 Ext: 5208
Addresses
Street Address
1112 OAK ST 102
CARMI, IL 62821-1344
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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