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CAH141310-01 Mendota Community Hospital d/b/a OSF Saint Paul Medical Center (Terminated)
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Main Details
Name
Mendota Community Hospital d/b/a OSF Saint Paul Medical Center
Subdivision Name
OSF Medical Group- Washington Street
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141310-01
Medicare Provider Number
141310
Outpatient Facility Provider Number
148567
Additional Details
Current Program Status
Terminated
Registration Date
4/5/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/9/2019
Last Recertification Date
9/3/2024
Termination Date
Termination Reason
1/1/2025
Site closure
Contacts
Authorizing Official
OSF HealthCare
Sandra Salverson, SVP Pharmacy Services
(309) 624-8817
Primary Contact
OSF Healthcare
amy krantz, Manager Strategic Reimbursement
(309) 655-2865
Addresses
Street Address
1404 WASHINGTON STREET
MENDOTA, IL 61342-1471
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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