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CAH241321-00 GRACEVILLE HEALTH CENTER (Active)
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Main Details
Name
GRACEVILLE HEALTH CENTER
Subdivision Name
ESSENTIA HEALTH HOLY TRINITY HOSPITAL
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241321-00
Medicare Provider Number
241321
Additional Details
Current Program Status
Active
Registration Date
9/14/2010
Participating Start Date
9/16/2010
Participating Approval Date
9/14/2010
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Essentia Health Graceville
Debra Stueve, Administrator
(320) 748-8203
Primary Contact
Essentia Health
Nick Sharrow, Pharmacy Business Services Director
(218) 606-9246
Addresses
Street Address
115 W 2ND ST
GRACEVILLE, MN 56240
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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