340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH241360-01 DEER RIVER HEALTHCARE CENTER (Terminated)
Print
Main Details
Name
DEER RIVER HEALTHCARE CENTER
Subdivision Name
DEER RIVER MERIDIAN MEDICAL CLINIC
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241360-01
Medicare Provider Number
241360
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
11/24/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/29/2010
Last Recertification Date
9/8/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Essentia Health
Steven Feltman, Senior Finance Advisor
(218) 259-8763
Primary Contact
Essentia Health
Bryan Lundberg, 340b Program Manager
(218) 828-7143
Addresses
Street Address
1542 GOLF COURSE RD
STE 203
GRAND RAPIDS, MN 55744
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
June 2025
June 2025
week
S
M
T
W
T
F
S
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
24
8
9
10
11
12
13
14
25
15
16
17
18
19
20
21
26
22
23
24
25
26
27
28
27
29
30
1
2
3
4
5
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session