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RRC140043-00 CGH MEDICAL CENTER (Active)
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Main Details
Name
CGH MEDICAL CENTER
Subdivision Name
Type
Rural Referral Center
Rural
Yes
340B ID
RRC140043-00
Medicare Provider Number
140043
Additional Details
Current Program Status
Active
Registration Date
10/17/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/4/2022
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
CGH Medical Center
Ben Schaab, VP, CFO
(815) 625-0400
Primary Contact
CGH Medical Center
Ed Pruis, Compliance Officer
(815) 625-0400 Ext: 6100
Addresses
Street Address
100 EAST LEFEVRE ROAD
STERLING, IL 61081-1278
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2018, terminated 1/1/2019. Reinstated 1/1/2023.
11/03/2022
April 2025
April 2025
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