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ILLINI HEALTH SERVICES LLC
CAH141315-00 Illini Community Hospital
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Covered Entity Details
Entity Name
Illini Community Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH141315-00
Entity Address
640 W. Washington Street
Pittsfield, IL 62363
Medicare Provider Number
141315
Participating Start Date
1/1/2014
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
ILLINI HEALTH SERVICES LLC
Pharmacy Address
321 N MONROE ST
PITTSFIELD, IL 62363-1430
Pharmacy Comments
Contract Details
Approval Date
4/28/2014
Contract Begin Date
7/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2017
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Kathy Hull, President/CEO
(217) 285-2113 Ext: 3803
Contract Pharmacy Representative
Gregg Hamilton, Vice President, Operations
(217) 223-3197 Ext: 5
Signed By Date
4/28/2014
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