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SCH140089-00 MCDONOUGH DISTRICT HOSPITAL (Active)
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Main Details
Name
MCDONOUGH DISTRICT HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH140089-00
Medicare Provider Number
140089
Additional Details
Current Program Status
Active
Registration Date
4/5/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/7/2017
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
McDonough District Hospital
William R Murdock, President & CEO
(309) 833-4101 Ext: 13499
Primary Contact
McDonough District Hospital
Kristin R Vail, 340B Coordinator
(309) 836-1590
Addresses
Street Address
525 E. GRANT
MACOMB, IL 61455
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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