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Hospital Statement of Cost BHF Page 1 Healthcare and Family Services, Bureau of Health Finance, 201 S. Grand Ave. E., Springfield, IL 62763 General Information Preliminary Name of Hospital: Southeast
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2012 Missouri BHF CMS Cols XXXX D-1 S-3 D-2 GME EKG Svcs Apportionment Physiatry MRI EEG Assignable D-5 A-8-2 Nonallowable DHS Girardeau ILCS Mgt I-Hospital 5A-B Payors 15-II 1x3A CFR 1x2A Unreimbursed

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