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CAH241372-00 MADISON HOSPITAL (Active)
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Main Details
Name
MADISON HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241372-00
Medicare Provider Number
241372
Additional Details
Current Program Status
Active
Registration Date
11/29/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/29/2010
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Madison Healthcare Services
Carol M. Borgerson, CFO
(320) 598-7536 Ext: 7152
Primary Contact
Madison Healthcare Services
DALLAS NYFLOT, PHARMACIST
(320) 598-7556
Addresses
Street Address
820 THIRD AVENUE
MADISON, MN 56256
Billing Address
Madison Hospital
900 2nd Ave
MADISON, MN 56256
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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