| Entity Name: | MERCY HARVARD HOSPITAL, INC. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 01 May 1997 |
| Company Number: | CORP_59395858 |
| File Number: | 59395858 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4D3C9 | Active | Non-Manufacturer | 2006-04-07 | 2022-07-07 | 2026-06-10 | 2022-07-07 | |||||||||||||||
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| POC | KATHI PALCHES |
| Phone | +1 608-741-6969 |
| Fax | +1 608-743-3260 |
| Address | 901 GRANT ST, HARVARD, MCHENRY, IL, 60033 1821, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| MEAGHAN MORIARTY, 2400 N ROCKTON AVE, ROCKFORD, 61103, WINNEBAGO | Agent | 2024-06-25 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054016983 | No data | No data | LICENSED PHARMACY | No data | 2010-02-01 | 2024-02-01 | 2026-03-31 |
| PHARMACY | 059013394 | No data | No data | LICENSED DIVISION III PHARMACY | No data | 1997-12-10 | 2008-03-25 | 2010-03-31 |
| Name | Change Date |
|---|---|
| HARVARD MEMORIAL HOSPITAL, INC. | 2003-12-31 |
Date of last update: 23 Dec 2024
