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MEDI-PARK PHARMACY
DSH140093 OSF SACRED HEART MEDICAL CENTER
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Covered Entity Details
Entity Name
OSF SACRED HEART MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH140093
Entity Address
812 NORTH LOGAN AVENUE
DANVILLE, IL 61832-3752
Medicare Provider Number
140093
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
MEDI-PARK PHARMACY
Pharmacy Address
420 NE GLEN OAK AVE STE 102
HILLCREST PLAZA
PEORIA, IL 61603-3171
Pharmacy Comments
Contract Details
Approval Date
10/5/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/9/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Diane L. McGrew, President
(309) 655-2850
Contract Pharmacy Representative
OSF
Tom Terrell, Pharmacy Manager
(309) 655-3799
Signed By Date
10/5/2018
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