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CAH241321-02 GRACEVILLE HEALTH CENTER (Terminated)
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Main Details
Name
GRACEVILLE HEALTH CENTER
Subdivision Name
ESSENTIA HEALTH CHOKIO CLINIC / FAMILY PRACTICE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241321-02
Medicare Provider Number
241321
Outpatient Facility Provider Number
243405
Additional Details
Current Program Status
Terminated
Registration Date
9/16/2010
Participating Start Date
9/16/2010
Participating Approval Date
9/16/2010
Last Recertification Date
11/29/2017
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
Essentia Health
Julie Rosenberg, Administrator
(320) 748-8203
Primary Contact
Essentia Health
Bryan Lundberg, 340b Program Manager
(218) 828-7143
Addresses
Street Address
101 MAIN STREET
CHOKIO, MN 56221
Billing Address
HOLY TRINITY HOSPITAL
PO BOX 74
GRACEVILLE, MN 56240
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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