340B Drug Pricing Program Database
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DSH240004 HENNEPIN HEALTHCARE SYSTEM, INC. - HENNEPIN COUNTY MEDICAL CENTER (Active)
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Main Details
Name
HENNEPIN HEALTHCARE SYSTEM, INC. - HENNEPIN COUNTY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240004
Medicare Provider Number
240004
Additional Details
Current Program Status
Active
Registration Date
9/8/2007
Participating Start Date
12/1/1992
Participating Approval Date
9/10/2007
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Hennepin Healthcare System
Wendy Stulac-Motzel, Chief Operating Officer
(612) 873-6123
Primary Contact
Hennepin Healthcare Systems, Inc. - HCMC
Heather Anderson, Pharmacy Revenue Manager
(612) 873-3225
Addresses
Street Address
701 PARK AVE SOUTH
MINNEAPOLIS, MN 55415
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/7/03 - ADDED SHIP TO ADDR
01/21/2010
May 2025
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