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11187 - May 7, 2024 -

Date

May 7, 2024

Repair Order

11187

Facility

Facility Name

Javon Bea Hospital

Contact Name

Tim Thompson

Billing Name

Mercy Health Corporation

Email Address

rstutzel@mhemail.org

Phone Number

Shipping Address

8201 E. Riverside Blvd.

Rockford, IL 61114

United States

Billing Address

PO Box 31320

United States

Equipment

PO #

PO-00039220

Manufacturer

MOOG

Model #

Painsmart IOD

Serial #

216137

Asset Tag #

85121

Reported Failure

Due for annual PM

Anything Else

Just needs an annual PM.