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SCH140147-00 RICHLAND MEMORIAL HOSPITAL (Active)
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Main Details
Name
RICHLAND MEMORIAL HOSPITAL
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH140147-00
Medicare Provider Number
140147
Additional Details
Current Program Status
Active
Registration Date
5/10/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/11/2018
Last Recertification Date
9/9/2024
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
800 EAST LOCUST STREET
OLNEY, IL 62450-2958
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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