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CAH241370-00 ST. GABRIEL'S HOSPITAL (Active)
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Main Details
Name
ST. GABRIEL'S HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241370-00
Medicare Provider Number
241370
Additional Details
Current Program Status
Active
Registration Date
11/4/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/17/2010
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
St Gabriel's Hospital
STEVEN SMITH, President
(320) 631-5600
Primary Contact
CommonSpirit Health - Central Region
Mitchell Schultz, RPh, 340b Regional Manager
(701) 928-0620
Addresses
Street Address
815 SE 2nd Street.
LITTLE FALLS, MN 56345
Billing Address
St. Gabriel's Hospital
815 2nd St. S.E.
Little Falls, MN 56345
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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1/17/12- Deleted NPI # (was 1780630939)
01/17/2012
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