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CAH241380-00 ST. JOSEPH'S AREA HEALTH SERVICES (Active)
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Main Details
Name
ST. JOSEPH'S AREA HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241380-00
Medicare Provider Number
241380
Additional Details
Current Program Status
Active
Registration Date
1/7/2011
Participating Start Date
4/1/2011
Participating Approval Date
1/7/2011
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
St. Joseph's Area Health Services
BEN KOPPELMAN, PRESIDENT/CEO
(218) 616-3500
Primary Contact
CommonSpirit Health - Central Region
Mitchell Schultz, RPh, 340b Regional Manager
(701) 928-0620
Addresses
Street Address
600 PLEASANT AVE
PARK RAPIDS, MN 56470
Billing Address
ST JOSPHS HLT SVC MN PHS
ATTN: 3200-5100140
PO BOX 63600
LITTLETON, CO 80163-6000
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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