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DSH240043 MAYO CLNIC HLTH SYS-ALBRT LEA AUSTIN (Approved)
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Main Details
Name
MAYO CLNIC HLTH SYS-ALBRT LEA AUSTIN
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH240043
Medicare Provider Number
240043
Additional Details
Current Program Status
Approved
Registration Date
4/14/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/22/2025
Last Recertification Date
Contacts
Authorizing Official
Mayo Clinic
Travis C. Paul, Regional Chair of Administration SWMN
(608) 392-9716
Primary Contact
Mayo Clinic Health System
Matt Lemin, Program Manager
(507) 293-3853
Addresses
Street Address
1000 1ST DRIVE NW
AUSTIN, MN 55912
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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