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OSF HOME INFUSION 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
OSF HOME INFUSION PHARMACY
Pharmacy Address
2265 W ALTORFER DR
PEORIA, IL 61615-1807
Pharmacy Comments
Contract Details
Approval Date
7/9/2021
Contract Begin Date
10/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/10/2023
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Diane L. McGrew, President
(309) 655-2850
Contract Pharmacy Representative
OSF Healthcare
Kelly J Taylor, Manager Pharmacy
(309) 624-5464
Signed By Date
7/9/2021
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