340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH140186Y RIVERSIDE MEDICAL CENTER (Active)
Print
Main Details
Name
RIVERSIDE MEDICAL CENTER
Subdivision Name
RIVERSIDE MEDICAL CENTER - Diabetes Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH140186Y
Medicare Provider Number
140186
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/4/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/12/2018
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Riverside Medical Center - Kankakee, IL
Patricia K. Vilt, Chief Financial Officer
(815) 935-7542 Ext: 37219
Primary Contact
Riverside Medical Center
Shari K. DePoister, 340B Program Coordinator
(815) 935-7256 Ext: 42154
Addresses
Street Address
100 FITNESS DRIVE
BOURBONNAIS, IL 60914-9584
Billing Address
Riverside Medical Center
350 NORTH WALL STREET
Kankakee, IL 60901
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session