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CAH141309-00 CARLE EUREKA HOSPITAL (Active)
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Main Details
Name
CARLE EUREKA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH141309-00
Medicare Provider Number
141309
Additional Details
Current Program Status
Active
Registration Date
10/11/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/17/2016
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Carle Foundation Hospital
Dennis P. Hesch, Executive VP and CFO
(217) 326-8231
Primary Contact
Carle Foundation Hospital
Katie Koch, Director of 340B and Retail Pharmacy Operations
(217) 904-7016
Addresses
Street Address
101 SOUTH MAJOR STREET
EUREKA, IL 61530
Billing Address
CARLE FOUNDATION HOSPITAL
611 W. Park Street
Urbana, IL 61801
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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