2 associated locations — data as of October 5, 2026
Disproportionate share hospital · Mt. Vernon, IL
SMGS - - Medical Plaza Urology [CC-74600]
Filed under SSM HEALTH GOOD SAMARITAN HOSPITAL, which files the Medicare cost report for this system.
Taking partNoTermination date filedOctober 1, 2023
- 0Registered locations
- 2Associated locations
- 0Contract pharmacies
- 0With no end date
- July 1, 2023In 340B since
Across SSM HEALTH GOOD SAMARITAN HOSPITAL, 173 contract pharmacies are on file. This location is filed at 2 Good Samaritan Way, Mt. Vernon IL 62864.
Finances, as filed
This record is a location registered under SSM HEALTH GOOD SAMARITAN HOSPITAL, which files the Medicare cost report. The finances are on that record.
Community benefit, as filed
This record is a location registered under SSM HEALTH GOOD SAMARITAN HOSPITAL. Community benefit is on that record.
Executive and director compensation, as filed
This record is a location registered under SSM HEALTH GOOD SAMARITAN HOSPITAL. Executive and director compensation is on that record.
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Changes recorded
Nothing on this record has moved since it was first read here on September 6, 2026.
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- July 1, 2023
- Termination date
- October 1, 2023
- Termination reason
- Hospital Outpatient facility no longer eligible
- Record last edited
- October 1, 2023
Identifiers
- 340B ID
- DSH140046L
- Entity type as filed
- DSH
- CMS certification number
- 140046
- NPI
- 1043270424 (IL), 1316282163 (IL), 1487758801 (IL), 1609897339 (IL)
- Rural
- Yes
2 Good Samaritan Way, Mt. Vernon IL 62864
Associated locations
| Good Samaritan Hospital | 1 Good Samaritan Way | Mt. Vernon IL 62864 |
| SMGS - - Medical Plaza Urology [CC-74600] | 2 Good Samaritan Way | Mt. Vernon IL 62864 |
How this page is built
- What is counted
- One row per registration in the register. This page is the row for this 340B ID; a figure that reads across a record and its locations counts the rows the register lists under this record as well.
- As of
- October 5, 2026 — the date of the register file this record was last listed in.
- Contract-pharmacy arrangements
- Each arrangement the register files between a covered entity and a pharmacy counts once. An arrangement counts among those with no end date where the register prints no termination date for it, and among the rest where it prints one.
Every figure on this page comes from HRSA 340B OPAIS Covered Entity Daily Report.
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, stamped by its publisher October 5, 2026. This record has been read here since September 6, 2026.
How this page was built: the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20261005_121310.xlsx, read October 5, 2026.