340B Drug Pricing Program Database


PED243302-00 Children’s Health Care d/b/a Children’s Minnesota (Active) - information as of 6/14/2025 10:10:45 AM

Main Details
Children’s Health Care d/b/a Children’s Minnesota
MINNEAPOLIS CAMPUS
Children's Hospital
No
PED243302-00
243302


Additional Details
Active
10/15/2014
1/1/2015
12/10/2014
8/27/2024

Contacts

Children's Hospitals and Clinics of Minnesota
Christa Steene-Lyons, Compliance Officer
(612) 813-6316

Children's Hospitals and Clinics of Minnesota
Dirk Killelea, Pharmacy Manager - 340B
(612) 813-7161

Addresses

2525 CHICAGO AVENUE SOUTH
MINNEAPOLIS, MN 55404

CHILDRENS BUSINESS CAMPUS
CBC-2-ACC
5901 LINCOLN DRIVE
EDINA, MN 55436


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
12/29/10 TERMINATED UNDER THIS ID EFFECTIVE 1/1/11 DUE TO CMS REQUIRING MINNEAPOLIS CAMPUS TO MERGE WITH ST. PAUL CAMPUS AND USE THE SAME MEDICARE NUMBER. NEW ID: 243301-01.12/30/2010
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
MN4352475001881793750,1780727958,1194824060,1063659183,1700979861,1841332764,1164122065
Shipping Addresses

CHILDREN'S MINNESOTA PHARMACY
2525 CHICAGO AVENUE S
MINNEAPOLIS, MN 55404

CHILDREN'S MINNESOTA RETAIL PHARMACY
2530 CHICAGO AVENUE S
CSC 225
MINNEAPOLIS, MN 55404

CHILDREN'S MINNESOTA HOME INFUSION PHARMACY
2530 CHICAGO AVENUE SOUTH
CSC 220
MINNEAPOLIS, MN 55404

CHILDRENS MINNESOTA RETAIL PHARMACY
345 NORTH SMITH AVENUE
ST. PAUL, MN 55102

CHILDREN'S MINNESOTA PHARMACY
345 NORTH SMITH AVENUE
ST. PAUL, MN 55102

CHILDREN'S MINNESOTA AFTER HOURS PHARMACY
2525 CHICAGO AVENUE S
MINNEAPOLIS, MN 55404
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailCYSTIC FIBROSIS SERVICES, LLCDBA WALGREENS SPECIALTY PHARMACY #16280 10530 JOHN W ELLIOTT DR STE 200
FRISCOTX7503310/16/201701/01/2018  10/16/2017
Contract DetailFAIRVIEW SPECIALTY SERVICES PHARMACY711 KASOTA AVENUE SE, SUITE A
MINNEAPOLISMN5541401/07/201904/01/2019  04/01/2019
Contract DetailOPTUM PHARMACY 700, LLC19 CHAPIN RD BLDG D, STE D8
PINE BROOKNJ0705810/11/202401/01/2025  01/01/2025
Contract DetailOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850710/11/202401/01/2025  01/01/2025
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713010/11/202401/01/2025  01/01/2025
Contract DetailOPTUM PHARMACY 704, INC.5627 UNIVERSITY HTS STE 108
SAN ANTONIOTX7824910/11/202401/01/2025  01/01/2025
Contract DetailOPTUM PHARMACY 705, LLC3539 BLUECUTT RD
COLUMBUSMS3970510/11/202401/01/2025  01/01/2025
Contract DetailOPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729810/11/202401/01/2025  01/01/2025
Contract DetailOPTUM PHARMACY 706, INC.30-30 47TH AVENUE SUITE 410
LONG ISLAND CITYNY1110110/11/202401/01/2025  01/01/2025
Contract DetailOPTUM PHARMACY 801, INC.24416 N 19TH AVE STE. 100
PHOENIXAZ8508510/11/202401/01/2025  01/01/2025
Contract DetailOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983810/11/202401/01/2025  01/01/2025
Contract DetailPRIME THERAPEUTICS SPECIALTY PHARMACY LLALLIANCERX WALGREENS PRIME #16568 2354 COMMERCE PARK DRIVE
SUITE 100
ORLANDOFL32819-999210/16/201701/01/2018 10/14/202211/08/2022
Contract DetailWALGREEN CODBA: WALGREENS #10473 1700 RICE ST
SAINT PAULMN55113-681210/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CODBA: WALGREENS #1751 2920 WHITE BEAR AVE N
MAPLEWOODMN5510910/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CODBA: WALGREENS #11952 4205 EGAN DRIVE
SAVAGEMN5537810/16/201701/01/2018 05/01/202405/01/2024
Contract DetailWALGREEN CODBA: WALGREENS #11421 1180 ARCADE ST
SAINT PAULMN55106-262910/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CODBA: WALGREENS #11690 121 DEPOT DR
WACONIAMN5538710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 00828 12 W 66TH ST
RICHFIELDMN5542310/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05883 6800 BASS LAKE ROAD
CRYSTALMN5542810/16/201701/01/2018 05/01/202405/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 04038 15034 SHANNON PKWY
ROSEMOUNTMN5506810/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02142 734 GRAND AVE
ST PAULMN5510510/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04879 8100 W COUNTY ROAD 42
SAVAGEMN5537810/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 16279 3121 E LAKE ST
MINNEAPOLISMN5540610/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04260 540 BLAKE ROAD N
HOPKINSMN5534310/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 10289 18267 CARSON CT NW
ELK RIVERMN5533010/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #12972 100 CHALUPSKY AVE. SE
NEW PRAGUEMN5607110/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 03114 6975 YORK AVE S
EDINAMN5543510/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06056 1965 DONEGAL DR
WOODBURYMN55125-487010/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04320 6390 BROOKLYN BLVD.
BROOKLYN CENTERMN5542910/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07111 1207 W BROADWAY AVE
FOREST LAKEMN55025-141810/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 13853 4950 COUNTY RD 101
MINNETONKAMN5534510/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #11250 3913 W OLD SHAKOPEE RD
BLOOMINGTONMN5543710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05080 10180 HENNEPIN TOWN RD
EDEN PRAIRIEMN5534710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 01002 3255 VICKSBURG LANE N
PLYMOUTHMN5544710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #13685 2635 RICE ST
ROSEVILLEMN5511310/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06943 4560 S ROBERT TRAIL
INVER GROVE HEIGHTSMN5507710/16/201701/01/2018 05/01/202405/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 02935 10686 UNIVERSITY AVE NW
COON RAPIDSMN5544810/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02769 915 WILDWOOD RD
WHITE BEAR LAKEMN55115-184710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04119 4547 HIAWATHA AVE
MINNEAPOLISMN5540610/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02805 1133 S ROBERT ST
WEST ST PAULMN5511810/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06280 16395 WAGNER WAY
EDEN PRAIRIEMN5534410/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.WALGREENS #11764 790 N PLAZA DR
MENDOTA HEIGHTSMN55120-150910/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04725 11401 MARKET PLACE DRIVE N
CHAMPLINMN5531610/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06995 1788 OLD HUDSON ROAD
ST PAULMN55119-430710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #12434 2499 HIGHWAY 7
EXCELSIORMN5533110/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05048 1017 VERMILLION ST
HASTINGSMN5503310/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 16057 5428 LYNDALE AVE S
MINNEAPOLISMN5541910/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02767 4005 VINEWOOD LANE N
PLYMOUTHMN5544210/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.WALGREENS SPECIALTY PHARMACY #15309 2100 LYNDALE AVE S STE A
MINNEAPOLISMN5540510/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #11835 7200 CEDAR LAKE RD S
ST LOUIS PARKMN55426-272510/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02661 15250 CEDAR AVE
APPLE VALLEYMN5512410/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 03187 1075 HIGHWAY 96 E
WHITE BEAR LAKEMN5512710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 01303 4323 CHICAGO AVENUE
MINNEAPOLISMN5540710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02509 4916 FRANCE AVE S
EDINAMN5541010/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04394 9800 LYNDALE AVE. S
BLOOMINGTONMN5542010/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 09727 14020 PILOT KNOB RD
APPLE VALLEYMN5512410/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA:WALGREENS #13690 2099 FORD PARKWAY
ST. PAULMN5511610/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 11419 950 COUNTY RD 42W
BURNSVILLEMN5533710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02038 3240 W LAKE ST
MINNEAPOLISMN5541610/16/201701/01/2018 05/01/202405/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 10188 1615 QUEENS DR
WOODBURYMN5512510/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06735 3700 SILVER LAKE RD NE
SAINT ANTHONYMN5542110/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 16476 398 WABASHA ST N
ST PAULMN5510210/16/201701/01/2018 05/01/202405/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 01951 612 4TH ST NW
FARIBAULTMN55021-503510/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06489 1291 TASHA DRIVE
SHAKOPEEMN5537910/16/201701/01/2018 05/01/202405/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS #15123 3585 LEXINGTON AVE. N
ARDEN HILLSMN5512610/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07728 17630 KENWOOD TRAIL
LAKEVILLEMN5504410/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 15982 2610 CENTRAL AVE NE
MINNEAPOLISMN5541810/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05081 4220 LEXINGTON AVE S
EAGANMN5512310/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05634 7560 160TH STREET WEST
LAKEVILLEMN5504410/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #13842 9 CENTRAL AVE. EAST
ST. MICHAELMN5537610/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06447 2387 MOUNDS VIEW BLVD
MOUNDS VIEWMN5511210/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #15983 627 W. BROADWAY
MINNEAPOLISMN5541110/16/201701/01/2018 02/22/202303/21/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 03293 9273 S. HIGHWAY DR.
CIRCLE PINESMN55014-393810/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 01479 16750 COUNTY ROAD 30
MAPLE GROVEMN55311-452310/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #12044 8240 FLYING CLOUD DR
EDEN PRAIRIEMN5534410/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 09795 1585 RANDOLPH AVE
ST PAULMN55105-214910/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 09728 600 W 79TH ST
CHANHASSENMN5531710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #15272 1110 LARPENTEUR AVE W
ST PAULMN5511310/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02316 2024 85TH AVE N
BROOKLYN PARKMN55444-149510/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #13607 4100 WEST BROADWAY AVE
ROBBINSDALEMN5542210/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 05325 3110 CHASKA BLVD
CHASKAMN5531810/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #12403 600 VILLAGE CENTER DR.
NORTH OAKSMN5512710/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA:WALGREENS #15150 2251 COMMERCE BLVD
MOUNDMN5536410/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07781 4202 PHEASANT RIDGE DRIVE NE
BLAINEMN5544910/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06057 7135 E POINT DOUGLAS RD SOUTH
COTTAGE GROVEMN5501610/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 03122 985 GENEVA AVENUE N
OAKDALEMN5512810/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 04882 5825 CAHILL AVE.
INVER GROVE HEIGHTSMN5507610/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07188 4880 CENTRAL AVE NE
HILLTOPMN5542110/16/201701/01/2018 05/01/202405/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 03665 1401 MARYLAND AVE E
ST PAULMN5510610/16/201701/01/2018 11/30/202312/05/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 07388 1665 WHITE BEAR AVENUE N
ST PAULMN55106-161110/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #15560 2700 LINCOLN DR
ROSEVILLEMN5511310/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 07218 12480 ABERDEEN ST NE
BLAINEMN5544910/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #21365 3001A NICOLLET AVE
MINNEAPOLISMN5540810/16/201701/01/2018 05/01/202405/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS #10641 1274 TOWN CENTRE DR
EAGANMN55123-106610/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06730 1511 STATE HWY 7
HOPKINSMN5530510/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 06916 6061 OSGOOD AVE N
OAK PARK HGTSMN55082-613310/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS #13753 5033 VERNON AVE S
EDINAMN5543610/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 03832 7700 BROOKLYN BLVD
BROOKLYN PARKMN5544310/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 09511 7845 PORTLAND AVE S
BLOOMINGTONMN55420-131210/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS # 02355 1550 UNIVERSITY AVE W
ST PAULMN5510410/16/201701/01/2018 01/01/201801/16/2018
Contract DetailWALGREEN CO.DBA: WALGREENS # 05882 4200 WINNETKA AVE N
NEW HOPEMN5542810/16/201701/01/2018  10/16/2017
Contract DetailWALGREEN CO.DBA: WALGREENS SPECIALTY PHARMACY #11916 1221 W LAKE ST, STE 200
MINNEAPOLISMN5540807/19/202110/01/2021  10/01/2021
Contract DetailWALGREEN CO.DBA: WALGREENS # 06573 3470 RIVER RAPIDS DR NW
COON RAPIDSMN5544801/10/202204/01/2022  04/01/2022
Contract DetailWALGREEN CO.DBA: WALGREENS #12510 6025 SHENANDOAH LANE N
PLYMOUTHMN5544604/16/202407/01/2024  07/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 00430 5695 DULUTH ST
GOLDEN VALLEYMN5542204/16/202407/01/2024  07/01/2024
Contract DetailWALGREEN CO.W002:WALGREENS #16361 2650 HENNEPIN AVE.
MINNEAPOLISMN5540804/16/202407/01/2024  07/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS #15679 1055 E WAYZATA BLVD
WAYZATAMN5539104/16/202407/01/2024  07/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS #13938 135 E BROADWAY ST
MONTICELLOMN5536204/16/202407/01/2024  07/01/2024
Contract DetailWALGREEN CO.DBA: WALGREENS # 02460 115 GARFIELD STREET N
CAMBRIDGEMN55008-176504/16/202407/01/2024  07/01/2024
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15438 41460 HAGGERTY CIR S
CANTONMI4818810/16/201701/01/2018  10/16/2017
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCALLIANCERX WALGREENS PRIME #12314 9775 SW GEMINI DR, STE 1
BEAVERTONOR9700810/16/201701/01/2018 10/01/202110/01/2021
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #15443 10530 JOHN W ELLIOTT DR STE 100
FRISCOTX7503310/16/201701/01/2018  10/16/2017
Contract DetailWALGREENS SPECIALTY PHARMACY, LLCDBA WALGREENS SPECIALTY PHARMACY #16287 130 ENTERPRISE DR
PITTSBURGHPA1527510/16/201701/01/2018  10/16/2017
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
PED243302-01ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Adolescent Health2530 Chicago Ave SMinneapolisMNActive
PED243302-02ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/ED (SP)345 N SMITH AVENUESt. PaulMNActive
PED243302-03ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/SPS (SP)345 NORTH SMITH AVENUEST. PAULMNActive
PED243302-04ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Radiology - General Diagnostics345 N Smith AveSt. PaulMNActive
PED243302-05ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/PACU (SP)345 N Smith AveSt. PaulMNActive
PED243302-06ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Surgery (SP)345 N Smith AveSt. PaulMNActive
PED243302-07ChildPEDCHILDREN'S HOSPITALS AND CLINICS OF MINNESOTASt. Paul /Rheumatology Clinic347 N Smith AveSt. PaulMNTerminated
PED243302-08ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Pain & Palliative Care347 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-09ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Orthopaedics Clinic310 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-10ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Neurosurgery Clinic310 NORTH SMTH AVENUEST. PAULMNActive
PED243302-11ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Neurology Clinic310 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-12ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Ketogenic Clinic347 N SMITH AVEST. PAULMNTerminated
PED243302-13ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Integrative Medicine and Cultural Care347 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-14ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Infectious Disease Clinic347 NORTH SMITH AVENUEST. PAULMNActive
PED243302-15ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Hematology-Oncology Clinic StP347 N Smith AveSt. PaulMNTerminated
PED243302-16ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Gynecology Clinic347 NORTH SMITH AVENUEST. PAULMNActive
PED243302-17ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Genetics Clinic347 N Smith AveSt. PaulMNActive
PED243302-18ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/General Pediatric Clinic- St. Paul347 NORTH SMITH AVENUEST. PAULMNActive
PED243302-19ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Feeding Clinic347 NORTH SMITH AVENUEST. PAULMNActive
PED243302-20ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Diabetes and Endocrine Center347 NORTH SMITH AVENUEST. PAULMNActive
PED243302-21ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Asthma Clinic347 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-22ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/VCF Clinic2530 Chicago Ave SMinneapolisMNTerminated
PED243302-23ChildPEDCHILDREN'S HOSPITALS AND CLINICS OF MINNESOTAMinneapolis/Rheumatology Clinic2530 Chicago Ave SMinneapolisMNTerminated
PED243302-24ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Pain and Palliative Care2525 CHICAGO AVENUE SOUTHMINNEAPOLISMNActive
PED243302-25ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Orthopaedics Clinic2530 CHICAGO AVENUE SMINNEAPOLISMNActive
PED243302-26ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/ Neurosurgery Clinic2530 Chicago Ave SMinneapolisMNActive
PED243302-27ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Neurology Clinic2530 Chicago Ave SMinneapolisMNTerminated
PED243302-28ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/ Nephrology Clinic2530 CHICAGO AVENUE SMINNEAPOLISMNActive
PED243302-29ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis Infectious Disease Clinic2530 CHICAGO AVENUE SOUTHMINNEAPOLISMNActive
PED243302-30ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Gynecology Clinic2530 CHICAGO AVENUE SMINNEAPOLISMNActive
PED243302-31ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Genetics Clinic2530 CHICAGO AVENUE SMINNEAPOLISMNActive
PED243302-32ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Feeding Clinic2530 Chicago Ave SMINNEAPOLISMNActive
PED243302-33ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Diabetes and Endocrine Center2530 Chicago Ave SMinneapolisMNActive
PED243302-34ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Developmental Peds Clinic2530 CHICAGO AVENUE SMINNEAPOLISMNActive
PED243302-35ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Cystic Fibrosis Clinic (Pulmonary Team)2530 CHICAGO AVENUE SMINNEAPOLISMNActive
PED243302-36ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaGeneral Pediatrics Clinic - Minneapolis2530 Chicago Ave SMinneapolisMNActive
PED243302-37ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Asthma Clinic2530 CHICAGO AVENUE SMINNEAPOLISMNTerminated
PED243302-39ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Hematology-Oncology Clinic2530 CHICAGO AVENUE SMINNEAPOLISMNActive
PED243302-40ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Integrative Medicine and Cultural Care2525 Chicago Ave SMinneapolisMNTerminated
PED243302-41ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMINNEAPOLIS/RADIOLOGY-ULTRA SOUND-CSC2530 CHICAGO AVENUE SMINNEAPOLISMNActive
PED243302-42ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMINNEAPOLIS/PHYSICAL MEDICINE CLINIC2530 CHICAGO AVNEUE SMINNEAPOLISMNTerminated
PED243302-43ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST. PAUL/SLEEP CENTER310 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-44ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST.PAUL/NON-INVASIVE CARDIOLOGY345 NORTH SMITH AVEST. PAULMNActive
PED243302-45ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST. PAUL/RADIOLOGY-GENERAL DIAGNOSTICS345 NORTH SMITH AVEST. PAULMNTerminated
PED243302-46ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST.PAUL/PICU345 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-47ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST.PAUL/NEUROSCIENCE UNIT345 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-48ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST. PAUL/FOURTH FLOOR MEDICAL/SURGICAL & OBSERVATION345 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-49ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST. PAUL/NEURO DIAGNOSTICS345 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-50ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST. PAUL/ANESTHESIOLOGY345 NORTH SMITH AVENUEST. PAULMNActive
PED243302-51ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST.PAUL/RADIOLOGY-NUCLEAR MEDICINE345 NORTH SMITH AVENUEST. PAULMNActive
PED243302-52ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST.PAUL/RADIOLOGY-MRI345 NORTH SMITH AVENUEST. PAULMNActive
PED243302-53ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST.PAUL/RADIOLOGY-ULTRA SOUND345 NORTH SMITH AVENUEST. PAULMNActive
PED243302-54ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST.PAUL/RADIOLOGY-CT345 NORTH SMITH AVENUEST. PAULMNActive
PED243302-55ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST. PAUL/DEVELOPMENTAL PEDS CLINIC347 N SMITH AVENUEST. PAULMNTerminated
PED243302-56ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaWOODBURY/DIABETES ENDOCRINE CLINIC628 BIELENBERG DRIVEWOODBURYMNActive
PED243302-57ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaWest/Gynecology Clinic6060 Clearwater DriveMinnetonkaMNActive
PED243302-58ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST. PAUL/SIXTH FLOOR MED/SURG & OBSERVATION345 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-59ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMAPLE GROVE - GYNECOLOGY CLINIC7767 ELM CREEK BLVDMAPLE GROVEMNActive
PED243302-60ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST. PAUL - INTERVENTIONAL RADIOLOGY345 NORTH SMITH AVENUEST. PAULMNActive
PED243302-61ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST. PAUL - PHYSICAL MEDICINE CLINIC347 NORTH SMITH AVENUEST. PAULMNTerminated
PED243302-62ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMINNEAPOLIS/GENERAL DIAGNOSTICS - CSC2530 CHICAGO AVENUEMINNEAPOLISMNActive
PED243302-63ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaST.PAUL/CONCUSSION CLINIC310 NORTH SMITH AVENUEST. PAULMNActive
PED243302-64ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaWOODBURY - GENETICS CLINIC628 BIELENBERG DRIVEWOODBURYMNTerminated
PED243302-65ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaWoodbury/Gynecology Clinic628 Bielenberg DriveWoodburyMNActive
PED243302-66ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/ - Genomics Clinic2545 Chicago Avenue SouthMinneapolisMNTerminated
PED243302-67ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinnetonka/ - Diabetes and Endocrine Center6060 Clearwater DriveMinnetonkaMNActive
PED243302-68ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMaple Grove/Concussion Clinic7677 Elm Creek BoulevardMaple GroveMNTerminated
PED243302-69ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/ - Concussion Clinic2530 Chicago Avenue SouthMinneapolisMNActive
PED243302-70ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMaple Grove/Diabetes and Endocrine Center7767 Elm Creek BlvdMaple GroveMNActive
PED243302-71ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Skin Integrity-Wound Ostomy Clinic - Wound2530 Chicago Avenue SouthMinneapolisMNActive
PED243302-72ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Skin Integrity-Wound Ostomy Clinic - Wound347 North Smith AvenueSt. PaulMNTerminated
PED243302-73ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Pharmacogenomics (PGX) Clinic - Pharmacogenomics2545 Chicago Avenue SouthMinneapolisMNTerminated
PED243302-74ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/ - Plastics and Reconstructive Surgery Clinic2530 Chicago Avenue SouthMinneapolisMNTerminated
PED243302-75ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Pulmonary Diagnostic/Special Diagnostics - Diagnostics345 North Smith AvenueSt. PaulMNActive
PED243302-76ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt.Paul/ Pulmonary Diagnostics/Special Diagnostics - Diagnostics310 North Smith AvenueSt. PaulMNActive
PED243302-77ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Heart Clinic - Cardiology2530 Chicago Avenue SouthMinneapolisMNActive
PED243302-78ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Gender Health - Endocrinology2530 Chicago Avenue SouthMinneapolisMNActive
PED243302-79ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaMinneapolis/Complex Care Clinic - General Pediatrics2530 Chicago Ave SMinneapolisMNActive
PED243302-80ChildPEDChildren’s Health Care d/b/a Children’s MinnesotaSt. Paul/Complex Care Clinic - General Pediatrics347 NORTH SMITH AVENUEST. PAULMNActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification8/31/2023 5:11:38 PM8/27/2024 2:37:48 PM8/27/2024 2:37 PM
Medicaid BillingNPI: NumberInsertChange Request 11641220659/18/2023 11:17 AM
Medicaid BillingNPI: StateInsertChange Request MN9/18/2023 11:17 AM
DetailsLast Recertification DateUpdateRecertification9/15/2022 3:29:16 PM8/31/2023 5:11:38 PM8/31/2023 5:11 PM
DetailsLast Recertification DateUpdateRecertification9/8/2021 7:04:10 AM9/15/2022 3:29:16 PM9/15/2022 3:29 PM
ContactsAuthorizing OfficialUpdateChange RequestCHRISTU, MARIA CHIEF LEGAL OFFICER Children's Hospitals and Clinics of Minnesota 6128136110Steene-Lyons, Christa Compliance Officer Children's Hospitals and Clinics of Minnesota 61281363163/29/2022 6:12 AM
DetailsLast Recertification DateUpdateRecertification8/27/2020 8:18:00 AM9/8/2021 7:04:10 AM9/8/2021 7:04 AM
Medicaid BillingNPI: StateUpdateRecertification MN8/27/2020 8:18 AM
Medicaid BillingNPI: StateUpdateRecertification MN8/27/2020 8:18 AM
Medicaid BillingNPI: StateUpdateRecertification MN8/27/2020 8:18 AM
Medicaid BillingNPI: StateUpdateRecertification MN8/27/2020 8:18 AM
Medicaid BillingNPI: StateUpdateRecertification MN8/27/2020 8:18 AM
Medicaid BillingNPI: StateUpdateRecertification MN8/27/2020 8:18 AM
DetailsLast Recertification DateUpdateRecertification9/10/2019 11:20:44 AM8/27/2020 8:18:00 AM8/27/2020 8:18 AM
ContactsPrimary ContactUpdateChange RequestMarben, Dawn 340B Compliance Analyst Children's Hospitals and Clinics of Minnesota 9529925288Killelea, Dirk Pharmacy Manager - 340B Children's Hospitals and Clinics of Minnesota 61281371617/16/2020 8:16 AM
DetailsLast Recertification DateUpdateRecertification9/10/2018 12:12:59 PM9/10/2019 11:20:44 AM9/10/2019 11:20 AM
DetailsLast Recertification DateUpdateRecertification12/5/2017 2:19:48 PM9/10/2018 12:12:59 PM9/10/2018 12:12 PM
AddressesShipping AddressInsertChange Request CHILDREN'S MINNESOTA AFTER HOURS PHARMACY 2525 CHICAGO AVENUE S MINNEAPOLIS, MN 554047/18/2018 10:55 AM
Medicaid BillingNPI: NumberDeleteChange Request1629161781 ( ) 7/18/2018 10:55 AM
AddressesBilling AddressInsertChange Request CHILDRENS BUSINESS CAMPUS CBC-2-ACC 5901 LINCOLN DRIVE EDINA, MN 554364/6/2018 1:37 PM
AddressesShipping AddressInsertChange Request CHILDRENS MINNESOTA RETAIL PHARMACY 345 NORTH SMITH AVENUE ST. PAUL, MN 551024/6/2018 1:37 PM
AddressesShipping AddressInsertChange Request CHILDREN'S MINNESOTA PHARMACY 345 NORTH SMITH AVENUE ST. PAUL, MN 551024/6/2018 1:37 PM
AddressesShipping AddressInsertRecertification CHILDREN'S MINNESOTA PHARMACY 2525 CHICAGO AVENUE S MINNEAPOLIS, MN 5540412/5/2017 2:19 PM
AddressesShipping AddressInsertRecertification CHILDREN'S MINNESOTA RETAIL PHARMACY 2530 CHICAGO AVENUE S CSC 225 MINNEAPOLIS, MN 5540412/5/2017 2:19 PM
AddressesShipping AddressInsertRecertification CHILDREN'S MINNESOTA HOME INFUSION PHARMACY 2530 CHICAGO AVENUE SOUTH CSC 220 MINNEAPOLIS, MN 5540412/5/2017 2:19 PM
Medicaid BillingNPI: NumberInsertRecertification 106365918312/5/2017 2:19 PM
Medicaid BillingNPI: NumberInsertRecertification 162916178112/5/2017 2:19 PM
Medicaid BillingNPI: NumberInsertRecertification 170097986112/5/2017 2:19 PM
Medicaid BillingNPI: NumberInsertRecertification 184133276412/5/2017 2:19 PM
DetailsLast Recertification DateUpdateRecertification8/22/2016 12:00:00 AM12/5/2017 2:19:48 PM12/5/2017 2:19 PM
DetailsEntity NameUpdateRecertificationCHILDREN'S HOSPITALS AND CLINICS OF MINNESOTAChildren’s Health Care d/b/a Children’s Minnesota12/5/2017 2:19 PM
ContactsAuthorizing OfficialUpdate CHRISTU, MARIA CHIEF LEGAL OFFICER 6128136110CHRISTU, MARIA CHIEF LEGAL OFFICER Children's Hospitals and Clinics of Minnesota 612813611010/11/2017 1:54 PM
ContactsPrimary ContactUpdate Marben, Dawn 340B Compliance Analyst 9529925288Marben, Dawn 340B Compliance Analyst Children's Hospitals and Clinics of Minnesota 95299252889/19/2017 1:12 PM
ContactsAuthorizing OfficialInsert  CHRISTU, MARIA CHIEF LEGAL OFFICER 61281361102/24/2017 7:15 AM
ContactsPrimary ContactUpdate ALEXANDER, DIANE DIRECTOR OF PHARMACY 6128136542Marben, Dawn 340B Compliance Analyst 95299252882/24/2017 7:15 AM
ContactsSigned ByInsert  OVERMAN, DAVID CHIEF OPERATING OFFICER 61281380312/21/2017 11:11 AM
AddressesMain AddressInsert   2525 CHICAGO AVENUE SOUTH MINNEAPOLIS, MN 554042/17/2017 11:10 AM
Medicaid BillingNPI: NumberInsert  119482406012/19/2016 1:46 PM
Medicaid BillingNPI: NumberInsert  17807279588/25/2016 11:42 AM
DetailsLast Recertification DateUpdate 8/31/2015 12:00:00 AM8/22/2016 12:00:00 AM8/25/2016 11:42 AM
ContactsPrimary ContactInsert  ALEXANDER, DIANE DIRECTOR OF PHARMACY 61281365425/18/2016 12:34 PM
DetailsLast Recertification DateUpdate  8/31/2015 12:00:00 AM8/31/2015 11:44 AM
Details340B IDUpdate PED243302- 00PED243302-0012/10/2014 3:09 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False12/10/2014 3:08 PM
Medicaid BillingMedicaid: NumberInsert  43524750012/10/2014 3:08 PM
Medicaid BillingMedicaid: StateInsert  MN12/10/2014 3:08 PM
Medicaid BillingNPI: NumberInsert  188179375012/10/2014 3:08 PM
Details340B IDUpdate PED243302-00PED243302- 0012/10/2014 3:08 PM
DatesLast Date That 340B Drugs PurchasedUpdate 1/1/2011 12:00:00 AM 12/10/2014 3:08 PM
DatesParticipating Approval DateUpdate 12/18/2009 12:00:00 AM12/10/2014 12:00:00 AM12/10/2014 3:08 PM
DetailsStateUpdate TerminatedActive12/10/2014 3:08 PM
DatesRegistration DateUpdate 12/16/2009 12:00:00 AM10/15/2014 12:00:00 AM12/10/2014 3:08 PM
DatesSigned By DateUpdate 11/23/2009 12:00:00 AM10/15/2014 12:00:00 AM12/10/2014 3:08 PM
DatesStart DateUpdate 1/1/2010 12:00:00 AM1/1/2015 12:00:00 AM12/10/2014 3:08 PM
TerminationsTermination DateUpdate 1/1/2011 12:00:00 AM 12/10/2014 3:08 PM
TerminationsTermination Effective DateUpdate 1/1/2011 12:00:00 AM 12/10/2014 3:08 PM
TerminationsTermination ReasonUpdate 340B ID# change/duplicate record 12/10/2014 3:08 PM
DatesLast Date That 340B Drugs PurchasedUpdate  1/1/2011 12:00:00 AM10/15/2014 12:10 PM
TerminationsTermination Effective DateUpdate  1/1/2011 12:00:00 AM10/15/2014 12:10 PM
DetailsLast Recertification DateInsert   12/30/2010 7:11 AM
DetailsGrant NumberInsert   12/30/2010 7:11 AM
Details340B IDInsert  PED243302-0012/30/2010 7:11 AM
DetailsIs Authorizing Official EHB DataInsert   12/30/2010 7:11 AM
DatesLast Date That 340B Drugs PurchasedInsert   12/30/2010 7:11 AM
DetailsMedicare Provider NumberInsert  24330212/30/2010 7:11 AM
DetailsEntity NameInsert  CHILDREN'S HOSPITALS AND CLINICS OF MINNESOTA12/30/2010 7:11 AM
DetailsProgram CodeInsert  PED12/30/2010 7:11 AM
DetailsEntity SubnameInsert  MINNEAPOLIS CAMPUS12/30/2010 7:11 AM
DatesParticipating Approval DateInsert  12/18/2009 12:00:00 AM12/30/2010 7:11 AM
DetailsStateInsert  Terminated12/30/2010 7:11 AM
DatesRegistration DateInsert  12/16/2009 12:00:00 AM12/30/2010 7:11 AM
DatesSigned By DateInsert  11/23/2009 12:00:00 AM12/30/2010 7:11 AM
DatesStart DateInsert  1/1/2010 12:00:00 AM12/30/2010 7:11 AM
TerminationsTermination CommentsInsert   12/30/2010 7:11 AM
TerminationsTermination DateInsert  1/1/2011 12:00:00 AM12/30/2010 7:11 AM
TerminationsTermination Effective DateInsert   12/30/2010 7:11 AM
TerminationsTermination ReasonInsert  340B ID# change/duplicate record12/30/2010 7:11 AM
DetailsComments PublicInsert  12/29/10 TERMINATED UNDER THIS ID EFFECTIVE 1/1/11 DUE TO CMS REQUIRING MINNEAPOLIS CAMPUS TO MERGE WITH ST. PAUL CAMPUS AND USE THE SAME MEDICARE NUMBER. NEW ID: 243301-01.12/30/2010 7:11 AM