340B Drug Pricing Program Database
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CAH241378-04 NEW ULM MEDICAL CENTER (Terminated)
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Main Details
Name
NEW ULM MEDICAL CENTER
Subdivision Name
Courage Kenny Rehabilitation Institute - Winthrop
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241378-04
Medicare Provider Number
241378
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/13/2021
Last Recertification Date
8/13/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
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
211 East 2nd St
Winthrop, MN 55396-2390
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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