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CAH141320-06 HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. (DBA Paris Community Hospital) (Active)
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Main Details
Name
HOSPITAL & MEDICAL FOUNDATION OF PARIS, INC. (DBA Paris Community Hospital)
Subdivision Name
Oakland Clinic - Oakland RHC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH141320-06
Medicare Provider Number
141320
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/20/2020
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Hospital & Medical Foundation of Paris, Inc.
Martin Donald Adams, Chief Financial Officer
(217) 466-4246
Primary Contact
Paris Community Hospital
Ryan Christopher Bonomo, Director of Pharmacy
(217) 465-4141 Ext: 4221
Addresses
Street Address
5 S Walnut St
Oakland, IL 61943
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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