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CAH241313-00 BRIDGES MEDICAL CENTER (Active)
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Main Details
Name
BRIDGES MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241313-00
Medicare Provider Number
241313
Additional Details
Current Program Status
Active
Registration Date
9/17/2010
Participating Start Date
9/28/2010
Participating Approval Date
9/22/2010
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Essentia Health
Kimberly Bodensteiner, CFO
(218) 435-7633
Primary Contact
Essentia Health
Nick Sharrow, Pharmacy Business Services Director
(218) 606-9246
Addresses
Street Address
201 9TH ST W
ADA, MN 56510
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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