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SCH140015-13 BLESSING HOSPITAL (Terminated)
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Main Details
Name
BLESSING HOSPITAL
Subdivision Name
Blessing Hospital Infectious Disease Clinic - Infectious Disease
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH140015-13
Medicare Provider Number
140015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/13/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/4/2023
Last Recertification Date
Termination Date
Termination Reason
10/1/2023
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
Blessing Hospital
Pat Gerveler, Executive Vice President/Chief Financial Officer
(217) 223-8400 Ext: 6814
Primary Contact
Blessing Health
Robert Ritchey, Administrative Director BHS Pharmacy & Supply Chain
(217) 223-8400 Ext: 6411
Addresses
Street Address
927 Broadway
322
Quincy, IL 62301
Billing Address
Blessing Hospital
1005 Broadway
Quincy, IL 62301
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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