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CAH141347-00 CARLINVILLE AREA HOSPITAL (Active)
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Main Details
Name
CARLINVILLE AREA HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH141347-00
Medicare Provider Number
141347
Additional Details
Current Program Status
Active
Registration Date
4/13/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/17/2017
Last Recertification Date
9/17/2024
Contacts
Authorizing Official
Carlinville Area Hospital
Brian Burnside, President/CEO
(217) 854-3141 Ext: 310
Primary Contact
Carlinville Area Hospital
Jessica Barkley, Chief Nursing Officer
(217) 854-3141 Ext: 365
Addresses
Street Address
20733 NORTH BROAD STREET
CARLINVILLE, IL 62626
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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