340B Drug Pricing Program Database


SCH240043-49 MAYO CLINIC HEALTH SYSTEM-ALBERT LEA (ToBeTerminated) - information as of 5/13/2025 1:43:24 AM

Main Details
MAYO CLINIC HEALTH SYSTEM-ALBERT LEA
MAYO CLINIC HEALTH SYSTEM-ALBERT LE - Anticoagulation
Sole Community Hospital
Yes
SCH240043-49
240043


Additional Details
ToBeTerminated
10/10/2023
1/1/2024
12/1/2023
8/14/2024

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

318 1ST ST SW
NEW RICHLAND, MN 56072-1201

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

MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTIN
1000 1ST DRIVE NW
AUSTIN, MN 55912

MCHS ALBERT LEA
MCHS ALBERT LEA
404 W FOUNTAIN STREET
ALBERT LEA, MN 56007

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

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

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

MCHS Albert Lea
Austin Outpatient Pharmacy
1000 1st Drive NW
Austin, MN 55912
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 DateUpdateRecertification 8/14/2024 3:06:36 PM8/14/2024 3:06 PM
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
DetailsStateUpdate ApprovedActive1/1/2024 12:01 AM
ContactsSigned ByInsertNew Registration Johnson, Kristin S. Vice Chair Administration SE MN MayoClinic 507434980612/1/2023 2:05 PM
Details340B IDUpdateNew Registration SCH240043-4912/1/2023 2:05 PM
DetailsEntity NameUpdateNew RegistrationMAYO CLNIC HLTH SYS-ALBRT LEA AUSTINMAYO CLINIC HEALTH SYSTEM-ALBERT LEA12/1/2023 2:05 PM
DetailsEntity SubnameUpdateNew RegistrationMAYO CLINIC HEALTH SYSTEM-ALBERT LEMAYO CLINIC HEALTH SYSTEM-ALBERT LE - Anticoagulation12/1/2023 2:05 PM
DatesParticipating Approval DateUpdateNew Registration 12/1/2023 2:05:52 PM12/1/2023 2:05 PM
DetailsStateUpdateNew RegistrationPendingApproved12/1/2023 2:05 PM
DatesSigned By DateUpdateNew Registration 10/11/2023 11:05:30 AM12/1/2023 2:05 PM
DatesStart DateUpdateNew Registration 1/1/2024 12:00:00 AM12/1/2023 2:05 PM
AddressesMain AddressInsertNew Registration  318 1ST ST SW NEW RICHLAND, MN 56072-120110/10/2023 7:05 PM
AddressesShipping AddressInsertNew Registration MAYO CLINIC HEALTH SYSTEM-ALBERT LEA AND AUSTIN 1000 1ST DRIVE NW AUSTIN, MN 5591210/10/2023 7:05 PM
AddressesShipping AddressInsertNew Registration MCHS ALBERT LEA MCHS ALBERT LEA 404 W FOUNTAIN STREET ALBERT LEA, MN 5600710/10/2023 7:05 PM
AddressesShipping AddressInsertNew Registration MCHS Albert Lea Austin Hospital Pharmacy 1000 1st Drive NW Austin, MN 5591210/10/2023 7:05 PM
AddressesShipping AddressInsertNew Registration MCHS Albert Lea Albert Lea Outpatient Pharmacy 404 W Fountain Street Albert Lea, MN 5600710/10/2023 7:05 PM
AddressesShipping AddressInsertNew Registration MCHS Albert Lea Albert Lea Hospital Pharmacy 404 W Fountain Street Albert Lea, MN 5600710/10/2023 7:05 PM
AddressesShipping AddressInsertNew Registration MCHS Albert Lea Austin Outpatient Pharmacy 1000 1st Drive NW Austin, MN 5591210/10/2023 7:05 PM
ContactsAuthorizing OfficialInsertNew Registration Johnson, Kristin S. Vice Chair Administration SE MN MayoClinic 507434980610/10/2023 7:05 PM
ContactsPrimary ContactInsertNew Registration Buda, Alicia Operations Manager Mayo Clinic 507293325110/10/2023 7:05 PM
DetailsAssistance Received From DateInsertNew Registration  10/10/2023 7:05 PM
DetailsAssistance Received To DateInsertNew Registration  10/10/2023 7:05 PM
DetailsLast Recertification DateInsertNew Registration  10/10/2023 7:05 PM
DetailsGrant NumberInsertNew Registration  10/10/2023 7:05 PM
Details340B IDInsertNew Registration  10/10/2023 7:05 PM
DetailsIs Authorizing Official EHB DataInsertNew Registration  10/10/2023 7:05 PM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  10/10/2023 7:05 PM
DetailsMedicare Provider NumberInsertNew Registration 24004310/10/2023 7:05 PM
DetailsEntity NameInsertNew Registration MAYO CLNIC HLTH SYS-ALBRT LEA AUSTIN10/10/2023 7:05 PM
DetailsNOFO NumberInsertNew Registration  10/10/2023 7:05 PM
DetailsProgram CodeInsertNew Registration SCH10/10/2023 7:05 PM
DetailsEntity SubnameInsertNew Registration MAYO CLINIC HEALTH SYSTEM-ALBERT LE10/10/2023 7:05 PM
DatesParticipating Approval DateInsertNew Registration  10/10/2023 7:05 PM
DetailsStateInsertNew Registration Pending10/10/2023 7:05 PM
DatesRegistration DateInsertNew Registration 10/10/2023 7:05:47 PM10/10/2023 7:05 PM
DatesSigned By DateInsertNew Registration  10/10/2023 7:05 PM
DatesStart DateInsertNew Registration  10/10/2023 7:05 PM
TerminationsTermination CommentsInsertNew Registration  10/10/2023 7:05 PM
TerminationsTermination DateInsertNew Registration  10/10/2023 7:05 PM
TerminationsTermination Effective DateInsertNew Registration  10/10/2023 7:05 PM
TerminationsTermination ReasonInsertNew Registration  10/10/2023 7:05 PM