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CAH521349-00 RIVER FALLS AREA HOSPITAL (Active)
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Main Details
Name
RIVER FALLS AREA HOSPITAL
Subdivision Name
Main Hospital
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521349-00
Medicare Provider Number
521349
Additional Details
Current Program Status
Active
Registration Date
8/3/2010
Participating Start Date
8/17/2010
Participating Approval Date
8/3/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Allina Health
Tony M Collins-Kwong, Director, Strategic Sourcing and Services, Pharmacy Services
(612) 262-4785
Primary Contact
Allina Health
Jeremy Enger, 340B Program Manager
(612) 760-7836
Addresses
Street Address
1629 E. DIVISION ST.
RIVER FALLS, WI 54022-1571
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/28/12 - updated bill to (was ALLINA HOSPITALS and CLINICS NW 86700, P.O.BOX 9345,MINNEAPOLIS, MN 55485) 3/19/12 - Added NPI#. 11/4/2010- ADDED MEDICAID BILLING INFO.
03/28/2012
03/19/12 - Added NPI#. 11/4/2010- ADDED MEDICAID BILLING INFO.
03/19/2012
11/4/2010- ADDED MEDICAID BILLING INFO.
11/04/2010
April 2025
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