340B Drug Pricing Program Database
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CAH241362-00 CENTRACARE HEALTH-MONTICELLO (Active)
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Main Details
Name
CENTRACARE HEALTH-MONTICELLO
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241362-00
Medicare Provider Number
241362
Additional Details
Current Program Status
Active
Registration Date
9/7/2010
Participating Start Date
9/8/2010
Participating Approval Date
9/7/2010
Last Recertification Date
9/10/2024
Contacts
Authorizing Official
CentraCare Health - Monticello
John Roland Hering, President
(763) 271-2445
Primary Contact
CentraCare Health-Monticello
Natalie Adams, Pharmacy Director
(763) 271-2425
Addresses
Street Address
1013 HART BLVD.
MONTICELLO, MN 55362-8575
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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