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CAH241328-00 Sanford Bagley Medical Center (Active)
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Main Details
Name
Sanford Bagley Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241328-00
Medicare Provider Number
241328
Additional Details
Current Program Status
Active
Registration Date
10/1/2010
Participating Start Date
1/1/2011
Participating Approval Date
10/28/2010
Last Recertification Date
8/18/2024
Contacts
Authorizing Official
Sanford Health of Northern Minnesota
Lisa Sue Miller, Chief Financial Officer
(218) 333-5523
Primary Contact
Sanford Health of Northern Minnesota
Matthew Aaron Webb, Director of Pharmacy
(218) 333-6339
Addresses
Street Address
203 4TH ST. NW
BAGLEY, MN 56621
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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