340B Drug Pricing Program Database


CAH521349-00 RIVER FALLS AREA HOSPITAL (Active) - information as of 4/25/2025 8:32:54 PM

Main Details
RIVER FALLS AREA HOSPITAL
Main Hospital
Critical Access Hospital
Yes
CAH521349-00
521349


Additional Details
Active
8/3/2010
8/17/2010
8/3/2010
8/19/2024

Contacts

Allina Health
Tony M Collins-Kwong, Director, Strategic Sourcing and Services, Pharmacy Services
(612) 262-4785

Allina Health
Jeremy Enger, 340B Program Manager
(612) 760-7836

Addresses

1629 E. DIVISION ST.
RIVER FALLS, WI 54022-1571

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
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
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
MN6195539001285691725,1316901333,1700840097,1295799518,1780648964,1598822686,1760446124,1942264270,1780094698,1063449213,1699739045,1851355135,1104880384,1982641346,1861450975
WI11-0068001285691725,1861450975
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailALLINA HEALTH APPLE VALLEY PHARMACY14655 GALAXIE AVE
APPLE VALLEYMN55124-860210/04/202301/01/202404/01/2024 03/28/2024
Contract DetailALLINA HEALTH CAMBRIDGE PHARMACY701 DELLWOOD ST S
CAMBRIDGEMN55008-192010/04/202301/01/202404/01/2024 03/28/2024
Contract DetailALLINA HEALTH COTTAGE GROVE PHARMACY8611 W POINT DOUGLAS RD S
COTTAGE GROVEMN55016-400510/04/202301/01/202404/01/2024 03/28/2024
Contract DetailALLINA HEALTH FARIBAULT PHARMACY200 STATE AVE
FARIBAULTMN5502110/04/202301/01/202404/01/2024 03/28/2024
Contract DetailALLINA HEALTH HEART HOSPITAL PHARMACY920 E 28TH ST STE H1254
MINNEAPOLISMN5540710/15/201901/01/202001/01/2024 12/04/2023
Contract DetailALLINA HEALTH MERCY PHARMACY11850 BLACKFOOT ST. NW STE 190
COON RAPIDSMN5543310/04/202301/01/202404/01/2024 03/28/2024
Contract DetailALLINA HEALTH NEW ULM PHARMACY1217 8TH ST N STE 1010
NEW ULMMN56073-155210/04/202301/01/2024  01/01/2024
Contract DetailALLINA HEALTH PIPER BUILDING PHARMACY913 E 26TH ST 1ST FLOOR PIPER BUILDING
MINNEAPOLISMN5540410/04/202301/01/202404/01/2024 03/28/2024
Contract DetailALLINA HEALTH ST. FRANCIS PHARMACY1455 SAINT FRANCIS AVE STE 100
SHAKOPEEMN55379-337410/04/202301/01/202404/01/2024 03/28/2024
Contract DetailALLINA HEALTH UNITED PHARMACY333 SMITH AVE N
SAINT PAULMN55102-234410/04/202301/01/202404/01/2024 03/28/2024
Contract DetailALLINA HEALTH UNITY PHARMACY550 OSBORNE RD NE
FRIDLEYMN55432-271810/04/202301/01/202404/01/2024 03/28/2024
Contract DetailALLINA HEALTH WESTHEALTH PHARMACY2855 CAMPUS DR
PLYMOUTHMN5544110/04/202301/01/202404/01/2024 03/28/2024
Contract DetailALLINA HEALTH WOODBURY PHARMACY8675 VALLEY CREEK RD
WOODBURYMN55125-233710/04/202301/01/202404/01/2024 03/28/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC376 NORTHLAKE BLVD
ALTAMONTE SPRINGSFL32701-526110/07/202201/01/2023  01/01/2023
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLC4900 PROSPECTUS DR STE 300
DURHAMNC2771310/07/202201/01/2023  01/01/2023
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 145 S 79TH ST STE 70
CHANDLERAZ8522607/10/202410/01/2024  10/01/2024
Contract DetailBIOPLUS SPECIALTY PHARMACY SERVICES, LLCBIOPLUS SPECIALTY PHARMACY SERVICES, LLC 4740 VICTORY LN STE C
INDIANAPOLISIN4620307/10/202410/01/2024  10/01/2024
Contract DetailDOGWOOD PHARMACY LLCD/B/A MEDSCRIPTS MEDICAL PHARMACY 1325 MILLER RD
STE K 		GREENVILLESC29607-654110/07/202201/01/2023 07/10/202407/10/2024
Contract DetailFAIRVIEW SPECIALTY SERVICES PHARMACY711 KASOTA AVENUE SE, SUITE A
MINNEAPOLISMN5541404/10/202307/01/2023  07/01/2023
Contract DetailMERCY HOSPITAL PHC4050 COON RAPIDS BLVD NW
COON RAPIDSMN55433-252201/23/201704/01/2017  01/23/2017
Contract DetailONCOMED THE ONCOLOGY PHARMACY OF BUFFALOD/B/A ONCO360 140 JOHN JAMES AUDUBON PKWY STE 101
AMHERSTNY1422810/07/202201/01/2023 01/03/202301/04/2023
Contract DetailOPTUM PHARMACY 700, LLC19 CHAPIN RD BLDG D, STE D8
PINE BROOKNJ0705804/10/202307/01/2023  07/01/2023
Contract DetailOPTUM PHARMACY 701, LLC4100 S SAGINAW ST STE D
FLINTMI4850704/10/202307/01/2023  07/01/2023
Contract DetailOPTUM PHARMACY 702, LLC1050 PATROL RD
JEFFERSONVILLEIN4713004/10/202307/01/2023  07/01/2023
Contract DetailOPTUM PHARMACY 705, LLC1100 LEE BRANCH LN
BIRMINGHAMAL35242-729804/10/202307/01/2023  07/01/2023
Contract DetailOPTUM PHARMACY 705, LLC3539 BLUECUTT RD
COLUMBUSMS3970504/10/202307/01/2023  07/01/2023
Contract DetailOPTUMRXOPTUMRX INC 6800 W 115TH ST STE 600
OVERLAND PARKKS66211-983804/10/202307/01/2023  07/01/2023
Contract DetailSINA DRUG LLCDBA ONCO360 7125 JANES AVE
STE 700 		WOODRIDGEIL6051710/07/202201/01/2023  01/01/2023
Contract DetailSINA DRUG LLCD/B/A ONCO 360 13410 EASTPOINT CENTRE DR
STE 101 		LOUISVILLEKY4022310/07/202201/01/2023  01/01/2023
Contract DetailSINA DRUG LLCDBA ONCO360 1985 MARCUS AVE STE 120
NEW HYDE PARKNY1104201/04/202304/01/2023  04/01/2023
Contract DetailWALGREEN CO.DBA: WALGREENS # 10585 1047 N MAIN ST
RIVER FALLSWI5402210/06/202301/01/2024  01/01/2024
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
CAH521349-01ChildCAHRIVER FALLS AREA HOSPITALCourage Kenny Rehabilitation Institute- River Falls - OT1629 E. Division StreetRiver FallsWIActive
CAH521349-02ChildCAHRIVER FALLS AREA HOSPITALCourage Kenny Rehabilitation Institute - River Falls - PT1629 E Division StRiver FallsWIActive
CAH521349-03ChildCAHRIVER FALLS AREA HOSPITALCourage Kenny Rehabilitation Institute - River Falls - ST1629 E. Division StreetRiver FallsWIActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
Medicaid BillingNPI: NumberInsertChange Request 18614509751/8/2025 7:24 AM
Medicaid BillingNPI: StateInsertChange Request WI1/8/2025 7:24 AM
Medicaid BillingNPI: NumberInsertChange Request 18614509751/8/2025 7:24 AM
Medicaid BillingNPI: StateInsertChange Request MN1/8/2025 7:24 AM
DetailsLast Recertification DateUpdateRecertification8/17/2023 10:07:09 AM8/19/2024 9:42:19 AM8/19/2024 9:42 AM
Medicaid BillingNPI: NumberInsertGroup Change Request 13169013336/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 17008400976/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 12957995186/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 17806489646/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 15988226866/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 17604461246/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 19422642706/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 17800946986/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 10634492136/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 16997390456/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 18513551356/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 11048803846/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
Medicaid BillingNPI: NumberInsertGroup Change Request 19826413466/17/2024 2:04 PM
Medicaid BillingNPI: StateInsertGroup Change Request MN6/17/2024 2:04 PM
DetailsLast Recertification DateUpdateRecertification9/2/2022 8:42:22 AM8/17/2023 10:07:09 AM8/17/2023 10:07 AM
DetailsLast Recertification DateUpdateRecertification9/9/2021 5:12:59 PM9/2/2022 8:42:22 AM9/2/2022 8:42 AM
ContactsAuthorizing OfficialUpdateChange RequestCollins-Kwong, Tony Director, Strategic Sourcing and Services, Pharmacy Services Allina Health 6122624785Collins-Kwong, Tony M Director, Strategic Sourcing and Services, Pharmacy Services Allina Health 61226247853/22/2022 11:12 AM
DetailsLast Recertification DateUpdateRecertification8/25/2020 8:59:10 AM9/9/2021 5:12:59 PM9/9/2021 5:12 PM
ContactsAuthorizing OfficialUpdateProfile Change RequestCollins-Kwong, Tony Pharmacy Services Portfolio Manager Allina Health 6122624785Collins-Kwong, Tony Director, Strategic Sourcing and Services, Pharmacy Services Allina Health 61226247858/23/2021 8:02 AM
ContactsAuthorizing OfficialUpdateChange RequestStrike, Helen President River Falls Area Hospital 7153076006Collins-Kwong, Tony Pharmacy Services Portfolio Manager Allina Health 61226247858/13/2021 2:33 PM
ContactsPrimary ContactUpdateChange RequestCRAVEN, BRUCE DIRECTOR FINANCE River Falls Area Hospital 6512355886Enger, Jeremy 340B Program Manager Allina Health 61276078368/13/2021 2:33 PM
ContactsPrimary ContactUpdateProfile Change RequestCRAVEN, BRUCE DIRECTOR FINANCE River Falls Area Hospital 7153076022CRAVEN, BRUCE DIRECTOR FINANCE River Falls Area Hospital 65123558862/19/2021 2:46 PM
Medicaid BillingMedicaid: NumberDeleteRecertification11-006800 (MN) 8/25/2020 8:59 AM
Medicaid BillingMedicaid: Is PrimaryInsertRecertification False8/25/2020 8:59 AM
Medicaid BillingMedicaid: NumberInsertRecertification 6195539008/25/2020 8:59 AM
Medicaid BillingMedicaid: StateInsertRecertification MN8/25/2020 8:59 AM
Medicaid BillingNPI: NumberInsertRecertification 12856917258/25/2020 8:59 AM
Medicaid BillingNPI: StateInsertRecertification WI8/25/2020 8:59 AM
Medicaid BillingNPI: NumberInsertRecertification 12856917258/25/2020 8:59 AM
Medicaid BillingNPI: StateInsertRecertification MN8/25/2020 8:59 AM
Medicaid BillingNPI: NumberDeleteRecertification1285691725 ( ) 8/25/2020 8:59 AM
DetailsLast Recertification DateUpdateRecertification9/2/2019 1:37:04 PM8/25/2020 8:59:10 AM8/25/2020 8:59 AM
DetailsLast Recertification DateUpdateRecertification8/30/2018 1:14:12 PM9/2/2019 1:37:04 PM9/2/2019 1:37 PM
ContactsAuthorizing OfficialUpdateAO Change RequestMILLER, DAVID PRESIDENT River Falls Area Hospital 7153076006Strike, Helen President River Falls Area Hospital 71530760068/20/2019 9:37 AM
ContactsPrimary ContactUpdateProfile Change RequestCRAVEN, BRUCE DIRECTOR OPERATIONS & FINANCE River Falls Area Hospital 7153076022CRAVEN, BRUCE DIRECTOR FINANCE River Falls Area Hospital 71530760228/19/2019 4:25 PM
Medicaid BillingMedicaid: Is PrimaryInsertChange Request False4/2/2019 3:45 PM
Medicaid BillingMedicaid: NumberInsertChange Request 11-0068004/2/2019 3:45 PM
Medicaid BillingMedicaid: StateInsertChange Request MN4/2/2019 3:45 PM
DetailsLast Recertification DateUpdateRecertification11/8/2017 12:01:52 PM8/30/2018 1:14:12 PM8/30/2018 1:14 PM
DetailsLast Recertification DateUpdateRecertification8/23/2016 12:00:00 AM11/8/2017 12:01:52 PM11/8/2017 12:01 PM
ContactsAuthorizing OfficialUpdate MILLER, DAVID PRESIDENT 7153076006MILLER, DAVID PRESIDENT River Falls Area Hospital 715307600611/7/2017 11:20 AM
ContactsPrimary ContactUpdate CRAVEN, BRUCE DIRECTOR OPERATIONS & FINANCE 7153076022CRAVEN, BRUCE DIRECTOR OPERATIONS & FINANCE River Falls Area Hospital 715307602210/26/2017 9:32 AM
ContactsAuthorizing OfficialInsert  MILLER, DAVID PRESIDENT 71530760061/23/2017 5:58 PM
AddressesMain AddressInsert   1629 E. DIVISION ST. RIVER FALLS, WI 54022-15718/23/2016 10:42 AM
ContactsPrimary ContactInsert  CRAVEN, BRUCE DIRECTOR OPERATIONS & FINANCE 71530760228/23/2016 10:42 AM
DetailsLast Recertification DateUpdate 8/14/2015 12:00:00 AM8/23/2016 12:00:00 AM8/23/2016 10:42 AM
Medicaid BillingMedicaid: Is PrimaryUpdate TrueFalse8/14/2015 2:41 PM
DetailsLast Recertification DateUpdate 8/21/2014 12:00:00 AM8/14/2015 12:00:00 AM8/14/2015 2:41 PM
DetailsLast Recertification DateUpdate 9/3/2013 8:50:06 AM8/21/2014 12:00:00 AM8/21/2014 12:38 PM
DetailsEntity SubnameUpdate  Main Hospital8/21/2014 12:38 PM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM9/3/2013 8:50:06 AM9/3/2013 8:50 AM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM6/1/2012 10:25 AM
AddressesBilling AddressInsert  ALLINA HOSPITALS & CLINICS NW 8670 "A-U" PO 9345 MINNEAPOLIS, MN 554853/28/2012 1:54 PM
AddressesBilling AddressUpdate ALLINA HOSPITALS & CLINICS NW 8670 "A-U" PO 9345 MINNEAPOLIS, MN 55485ALLINA HEALTH P.O.BOX 1583, MR 10801 MINNEAPOLIS, MN 55440-15833/28/2012 1:54 PM
DetailsComments PublicInsert  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.3/28/2012 1:54 PM
Medicaid BillingNPI: NumberInsert  12856917253/19/2012 4:48 PM
DetailsComments PublicInsert  03/19/12 - Added NPI#. 11/4/2010- ADDED MEDICAID BILLING INFO.3/19/2012 4:48 PM
DetailsLast Recertification DateInsert   11/4/2010 1:27 PM
DetailsGrant NumberInsert   11/4/2010 1:27 PM
Details340B IDInsert  CAH521349-0011/4/2010 1:27 PM
DetailsIs Authorizing Official EHB DataInsert   11/4/2010 1:27 PM
DatesLast Date That 340B Drugs PurchasedInsert   11/4/2010 1:27 PM
DetailsMedicare Provider NumberInsert  52134911/4/2010 1:27 PM
DetailsEntity NameInsert  RIVER FALLS AREA HOSPITAL11/4/2010 1:27 PM
DetailsProgram CodeInsert  CAH11/4/2010 1:27 PM
DetailsEntity SubnameInsert   11/4/2010 1:27 PM
DatesParticipating Approval DateInsert  8/3/2010 12:00:00 AM11/4/2010 1:27 PM
DetailsStateInsert  Active11/4/2010 1:27 PM
DatesRegistration DateInsert  8/3/2010 12:00:00 AM11/4/2010 1:27 PM
DatesSigned By DateInsert  8/12/2010 12:00:00 AM11/4/2010 1:27 PM
DatesStart DateInsert  8/17/2010 12:00:00 AM11/4/2010 1:27 PM
TerminationsTermination CommentsInsert   11/4/2010 1:27 PM
TerminationsTermination DateInsert   11/4/2010 1:27 PM
TerminationsTermination Effective DateInsert   11/4/2010 1:27 PM
TerminationsTermination ReasonInsert   11/4/2010 1:27 PM
DetailsComments PublicInsert  11/4/2010- ADDED MEDICAID BILLING INFO.11/4/2010 1:27 PM
Medicaid BillingMedicaid: Is PrimaryInsert  True8/3/2010 4:30 PM
Medicaid BillingMedicaid: NumberInsert  11-0068008/3/2010 4:30 PM
Medicaid BillingMedicaid: StateInsert  WI8/3/2010 4:30 PM