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SCH140210-05 HARRISBURG MEDICAL CENTER INC. (Terminated)
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Main Details
Name
HARRISBURG MEDICAL CENTER INC.
Subdivision Name
HARRISBURG MEDICAL CENTER INC - HMC at Marion - General Health Care
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH140210-05
Medicare Provider Number
140210
Outpatient Facility Provider Number
148590
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2019
Participating Start Date
3/15/2022
Participating Approval Date
1/28/2019
Last Recertification Date
9/7/2023
Termination Date
Termination Reason
10/1/2023
DSH percentage below statutory minimum
Contacts
Authorizing Official
SIH
Warren Ladner, CFO
(618) 457-5200 Ext: 67130
Primary Contact
Harrisburg Medical Center, Inc.
Cody Sandusky, Director of Pharmacy
(618) 253-0263
Addresses
Street Address
3106 OUTER DR
MARION, IL 62959-5270
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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