340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC240047-11 ST. LUKES HOSPITAL OF DULUTH (Terminated)
Print
Main Details
Name
ST. LUKES HOSPITAL OF DULUTH
Subdivision Name
ST LUKES HOSPITAL OF DULUTH - Family Medicine
Type
Rural Referral Center
Rural
Yes
340B ID
RRC240047-11
Medicare Provider Number
240047
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/23/2024
Last Recertification Date
Termination Date
Termination Reason
1/1/2025
Other
Contacts
Authorizing Official
St. Luke's Hospital of Duluth
Michael Boeselager, Vice President Support Services
(218) 249-2459
Primary Contact
St. Luke's Hospital of Duluth
Katherine Becker, Vice President Corporate Compliance
(218) 249-5357
Addresses
Street Address
1400 WOODLAND AVE
DULUTH, MN 55803-2624
Billing Address
St. Luke's Hospital of Duluth
915 E 1st St
Duluth, MN 55805-2107
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session