340B Drug Pricing Program Database


SCH240043-18 MAYO CLINIC HEALTH SYSTEM-ALBERT LEA (ToBeTerminated) - information as of 4/23/2025 10:54:11 PM

Main Details
MAYO CLINIC HEALTH SYSTEM-ALBERT LEA
Mayo Clinic Health System-Austin-Dermatology
Sole Community Hospital
Yes
SCH240043-18
240043


Additional Details
ToBeTerminated
10/15/2014
1/1/2015
11/6/2014
8/13/2024

7/1/2025
Change of covered entity type

Contacts

Mayo Clinic
Travis C. Paul, Regional Chair of Administration SWMN
(608) 392-9716

Mayo Clinic Health System
Matt Lemin, Program Manager
(507) 293-3853

Addresses

1000 1ST DRIVE NW
AUSTIN, MN 55912

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

MCHS Albert Lea
Albert Lea Hospital Pharmacy
404 W Fountain Street
Albert Lea, MN 56007

MCHS Albert Lea
Albert Lea Outpatient Pharmacy
404 W Fountain Street
Albert Lea, MN 56007

MCHS Albert Lea
Austin Hospital Pharmacy
1000 1st Drive NW
Austin, MN 55912

MCHS Albert Lea
Austin Outpatient Pharmacy
1000 1st Drive NW
Austin, MN 55912
Contract Pharmacies
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
SCH240043-01ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMAYO CLINIC HEALTH SYSTEM - AUSTIN1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-02ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEABlooming Prairie Clinic405 EAST MAIN STBLOOMING PRAIRIEMNTerminated
SCH240043-03ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAAlden Clinic192 WASHINGTON AVEALDENMNTerminated
SCH240043-04ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Albert Lea-New Richland Clinic318 1ST ST SWNEW RICHLANDMNToBeTerminated
SCH240043-05ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Albert Lea-Wells Clinic301 S BROADWAY AVEWELLSMNToBeTerminated
SCH240043-06ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAKiester Clinic120 N MAIN STKIESTERMNTerminated
SCH240043-07ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Albert Lea-Lake Mills Clinic309 S 10TH AVE ELAKE MILLSIATerminated
SCH240043-08ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAAUSTIN / SAME DAY CLINIC1000 1ST DRIVE NWAUSTINMNTerminated
SCH240043-09ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Endocrinology1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-10ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Internal Medicine1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-11ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAAUSTIN / HOSPITALIST1000 1ST DRIVE NWAUSTINMNTerminated
SCH240043-12ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAAUSTIN / RHEUMATOLOGY1000 1ST DRIVE NWAUSTINMNTerminated
SCH240043-13ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Cardiology1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-14ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAAUSTIN / AUDIOLOGY1000 1ST DRIVE NWAUSTINMNTerminated
SCH240043-15ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Occupational Medicine1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-16ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Pediatrics1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-17ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Family Practice1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-18ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Dermatology1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-19ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Urology1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-20ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAAUSTIN / PODIATRY1000 1ST DRIVE NWAUSTINMNTerminated
SCH240043-21ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAAUSTIN / PALLIATIVE CARE1000 1ST DRIVE NWAUSTINMNTerminated
SCH240043-22ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-OB/GYN1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-23ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-ENT1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-24ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-General Surgery1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-25ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Neurology1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-26ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Orthopedics1000 1ST DRIVE NWAUSTINMNToBeTerminated
SCH240043-27ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Pain Clinic1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-28ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMAYO CLINIC HEALTH SYSTEM-ALBERT LE - Wells Eye Center301 S BROADWAYWELLSMNTerminated
SCH240043-29ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMAYO CLINIC HEALTH SYSTEM - AUSTIN - Austin Anticoagulation1000 1st Drive NWAUSTINMNToBeTerminated
SCH240043-30ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Physical Medicine and Rehabilitation1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-31ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Nutrition1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-32ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Emergency Medicine1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-33ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Radiology1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-34ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Medical Oncology1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-35ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Eye Clinic1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-36ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Sleep Medicine1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-37ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Cardiac Rehab1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-38ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Post Anesthesia Care Unit1000 1ST DR NWAUSTINMNTerminated
SCH240043-39ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Pulmonary1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-40ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin-Infusion Therapy1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-41ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Albert Lea - Mayo Clinic Health System-Albert Lea Anticoagulation Clinic210 St. Mary AvenueAlbert LeaMNTerminated
SCH240043-42ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin - Operating Room1000 1st Drive NWAustinMNToBeTerminated
SCH240043-43ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin - Endoscopy1000 1st Drive NWAustinMNTerminated
SCH240043-44ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin - Echo Cardiology1000 1st Drive NWAustinMNTerminated
SCH240043-45ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin - DX Radiology1000 1st Drive NWAustinMNToBeTerminated
SCH240043-46ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin - Pulmonary Services1000 1st Drive NWAustinMNToBeTerminated
SCH240043-47ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMayo Clinic Health System-Austin - Pain Medicine Procedure1000 1st Drive NWAustinMNToBeTerminated
SCH240043-48ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMAYO CLINIC HEALTH SYSTEM ALBERT LE - Infectious Diseases1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-49ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMAYO CLINIC HEALTH SYSTEM-ALBERT LE - Anticoagulation318 1ST ST SWNEW RICHLANDMNToBeTerminated
SCH240043-50ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMAYO CLINIC HEALTH SYSTEM ALBERT LE - COVID Infusion1000 1ST DR NWAUSTINMNTerminated
SCH240043-51ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMAYO CLINIC HEALTH SYSTEM ALBERT LE - Allergy1000 1ST DR NWAUSTINMNToBeTerminated
SCH240043-52ChildSCHMAYO CLINIC HEALTH SYSTEM-ALBERT LEAMAYO CLINIC HEALTH SYSTEM ALBERT LE - Medication Management1000 1ST DR NWAUSTINMNToBeTerminated
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DatesLast Date That 340B Drugs PurchasedUpdateHospital Type Change Request 7/1/2025 12:00:00 AM4/22/2025 9:45 AM
DetailsStateUpdateHospital Type Change RequestActiveTo Be Terminated4/22/2025 9:45 AM
TerminationsTermination DateUpdateHospital Type Change Request 7/1/2025 12:00:00 AM4/22/2025 9:45 AM
TerminationsTermination Effective DateUpdateHospital Type Change Request 7/1/2025 12:00:00 AM4/22/2025 9:45 AM
TerminationsTermination ReasonUpdateHospital Type Change Request Change of covered entity type4/22/2025 9:45 AM
ContactsPrimary ContactUpdateGroup Change RequestBuda, Alicia Operations Manager Mayo Clinic 5072933251Lemin, Matt Program Manager Mayo Clinic Health System 50729338534/15/2025 8:24 AM
ContactsAuthorizing OfficialUpdateChange RequestCrockett, Eric Douglas Regional Chair-Administration Mayo Clinic 5074225678-5079909402Paul, Travis C. Regional Chair of Administration SWMN Mayo Clinic 608392971612/17/2024 7:36 AM
DetailsLast Recertification DateUpdateRecertification8/21/2023 10:29:47 AM8/13/2024 11:41:42 AM8/13/2024 11:41 AM
ContactsAuthorizing OfficialUpdateChange RequestJohnson, Kristin S. Vice Chair Administration SE MN MayoClinic 5074349806Crockett, Eric Douglas Regional Chair-Administration Mayo Clinic 5074225678-50799094025/1/2024 2:25 PM
DetailsLast Recertification DateUpdateRecertification8/31/2022 11:10:04 AM8/21/2023 10:29:47 AM8/21/2023 10:29 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestJohnson, Kristin S. Associate Administrator MCHS SEMN MayoClinic 5074349806Johnson, Kristin S. Vice Chair Administration SE MN MayoClinic 50743498065/5/2023 5:53 AM
DetailsLast Recertification DateUpdateRecertification9/15/2021 9:02:34 AM8/31/2022 11:10:04 AM8/31/2022 11:10 AM
ContactsPrimary ContactUpdateProfile Change RequestBuda, Alicia M. E. Operations Manager Mayo Clinic 5072553648Buda, Alicia Operations Manager Mayo Clinic 507293325112/21/2021 2:39 PM
ContactsPrimary ContactUpdateRecertificationChristopherson, Darrin Senior Business Analyst-340B Midwest Programs Mayo Clinic 5072845035Buda, Alicia M. E. Operations Manager Mayo Clinic 50725536489/15/2021 9:02 AM
DetailsLast Recertification DateUpdateRecertification9/10/2020 2:49:12 PM9/15/2021 9:02:34 AM9/15/2021 9:02 AM
DetailsEntity SubnameUpdateChange RequestAUSTIN / DERMATOLOGYMayo Clinic Health System-Austin-Dermatology11/20/2020 12:15 PM
DetailsLast Recertification DateUpdateRecertification9/6/2019 2:40:27 PM9/10/2020 2:49:12 PM9/10/2020 2:49 PM
DetailsLast Recertification DateUpdateRecertification8/23/2018 6:37:04 AM9/6/2019 2:40:27 PM9/6/2019 2:40 PM
ContactsPrimary ContactUpdateChange RequestHovell, Jenni 340B Operations Manager Mayo Clinic 5072845061Christopherson, Darrin Senior Business Analyst-340B Midwest Programs Mayo Clinic 50728450355/22/2019 5:34 PM
AddressesShipping AddressInsertRecertification MCHS Albert Lea Albert Lea Hospital Pharmacy 404 W Fountain Street Albert Lea, MN 560078/23/2018 6:37 AM
AddressesShipping AddressInsertRecertification MCHS Albert Lea Albert Lea Outpatient Pharmacy 404 W Fountain Street Albert Lea, MN 560078/23/2018 6:37 AM
AddressesShipping AddressInsertRecertification MCHS Albert Lea Austin Hospital Pharmacy 1000 1st Drive NW Austin, MN 559128/23/2018 6:37 AM
AddressesShipping AddressInsertRecertification MCHS Albert Lea Austin Outpatient Pharmacy 1000 1st Drive NW Austin, MN 559128/23/2018 6:37 AM
DetailsLast Recertification DateUpdateRecertification11/14/2017 9:59:13 AM8/23/2018 6:37:04 AM8/23/2018 6:37 AM
DetailsLast Recertification DateUpdateRecertification8/15/2016 12:00:00 AM11/14/2017 9:59:13 AM11/14/2017 9:59 AM
ContactsAuthorizing OfficialInsertChange Request Johnson, Kristin S. Associate Administrator MCHS SEMN MayoClinic 507434980610/19/2017 7:50 PM
ContactsPrimary ContactUpdate Hovell, Jenni 340B Operations Manager 5072845061Hovell, Jenni 340B Operations Manager Mayo Clinic 50728450619/27/2017 5:15 PM
ContactsPrimary ContactUpdate Knoll, Rick Pharmacy Manager 5074341599Hovell, Jenni 340B Operations Manager 50728450618/14/2017 6:23 PM
ContactsSigned ByInsert  DANKERT, SHERI CFO 50743416048/10/2017 11:59 AM
AddressesMain AddressInsert   1000 1ST DRIVE NW AUSTIN, MN 559128/10/2017 11:50 AM
ContactsPrimary ContactUpdate Holt, Robert Director of Pharmacy 5074341644Knoll, Rick Pharmacy Manager 50743415998/15/2016 10:49 AM
DetailsLast Recertification DateUpdate 9/2/2015 12:00:00 AM8/15/2016 12:00:00 AM8/15/2016 10:48 AM
ContactsPrimary ContactInsert  Holt, Robert Director of Pharmacy 50743416449/2/2015 10:46 AM
DetailsLast Recertification DateUpdate  9/2/2015 12:00:00 AM9/2/2015 10:46 AM
DetailsEntity SubnameUpdate AUSTIN / DERMATOLOGY / DERMATOLOGYAUSTIN / DERMATOLOGY12/12/2014 11:21 AM
DetailsEntity SubnameUpdate AUSTIN / DERMATOLOGYAUSTIN / DERMATOLOGY / DERMATOLOGY11/6/2014 10:20 PM
DatesParticipating Approval DateUpdate  11/6/2014 12:00:00 AM11/6/2014 10:20 PM
DetailsStateUpdate PendingActive11/6/2014 10:20 PM
DatesStart DateUpdate  1/1/2015 12:00:00 AM11/6/2014 10:20 PM
Details340B IDUpdate SCH240043-19SCH240043-1810/30/2014 3:12 PM
DetailsEntity SubnameUpdate AUSTINAUSTIN / DERMATOLOGY10/30/2014 12:56 PM
DetailsEntity SubnameUpdate AUSTIN / DERMATOLOGYAUSTIN10/30/2014 12:56 PM
DetailsEntity SubnameUpdate AUSTINAUSTIN / DERMATOLOGY10/24/2014 12:59 PM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_47489SCH240043-1910/24/2014 12:16 PM
DetailsEntity SubnameUpdate MAYO CLINIC HEALTH SYSTEM-AUSTINAUSTIN10/24/2014 12:16 PM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_4748910/15/2014 12:35 PM
DetailsLast Recertification DateInsert   10/15/2014 12:35 PM
DetailsGrant NumberInsert   10/15/2014 12:35 PM
Details340B IDInsert   10/15/2014 12:35 PM
DetailsIs Authorizing Official EHB DataInsert   10/15/2014 12:35 PM
DatesLast Date That 340B Drugs PurchasedInsert   10/15/2014 12:35 PM
DetailsMedicare Provider NumberInsert  24004310/15/2014 12:35 PM
DetailsEntity NameInsert  MAYO CLINIC HEALTH SYSTEM-ALBERT LEA10/15/2014 12:35 PM
DetailsProgram CodeInsert  SCH10/15/2014 12:35 PM
DetailsEntity SubnameInsert  MAYO CLINIC HEALTH SYSTEM-AUSTIN10/15/2014 12:35 PM
DatesParticipating Approval DateInsert   10/15/2014 12:35 PM
DetailsStateInsert  Pending10/15/2014 12:35 PM
DatesRegistration DateInsert  10/15/2014 12:00:00 AM10/15/2014 12:35 PM
DatesSigned By DateInsert  10/15/2014 12:00:00 AM10/15/2014 12:35 PM
DatesStart DateInsert   10/15/2014 12:35 PM
TerminationsTermination CommentsInsert   10/15/2014 12:35 PM
TerminationsTermination DateInsert   10/15/2014 12:35 PM
TerminationsTermination Effective DateInsert   10/15/2014 12:35 PM
TerminationsTermination ReasonInsert   10/15/2014 12:35 PM