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MEIJER PHARMACY #464
CAH141316-00 Carle Hoopeston Regional Health Center
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Covered Entity Details
Entity Name
Carle Hoopeston Regional Health Center
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141316-00
Entity Address
701 East Orange Street
Hoopeston, IL 60942
Medicare Provider Number
141316
Participating Start Date
7/1/2013
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
MEIJER PHARMACY #464
Pharmacy Address
41255 COCA COLA DR.
BELLEVILLE, MI 48111-1827
Pharmacy Comments
Contract Details
Approval Date
1/12/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dennis P. Hesch, Executive VP and CFO
(217) 326-8231
Contract Pharmacy Representative
Meijer
Jeff Romano, Hospital Programs
(616) 791-3171
Signed By Date
1/12/2017
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