340B Drug Pricing Program Database
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DSH240080 UNIVERSITY OF MINNESOTA MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF MINNESOTA MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240080
Medicare Provider Number
240080
Additional Details
Current Program Status
Active
Registration Date
5/1/2006
Participating Start Date
7/1/2006
Participating Approval Date
5/1/2006
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Fairview Health Services
Trudi Noel Trysla, Chief Legal Officer
(612) 672-6382
Primary Contact
Fairview Health Services
Bryan John Lundberg, VP 340B Program
(218) 340-4695
Addresses
Street Address
500 HARVARD ST. SE
MINNEAPOLIS, MN 55455
Billing Address
Fairview Health Services
PO Box 59318
Minneapolis, MN 55459
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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1/11/12 change AO from Hill to Donnelly, ADD NPI JH
05/01/2006
April 2025
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