340B Drug Pricing Program Database
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DSH240040 Range Regional Health Services (Active)
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Main Details
Name
Range Regional Health Services
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240040
Medicare Provider Number
240040
Additional Details
Current Program Status
Active
Registration Date
9/26/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/26/2011
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Range Regional Health Services
Todd Kenton Christensen, VP Finance
(218) 362-6638
Primary Contact
Fairview Health Services
Bryan John Lundberg, VP 340B Program
(218) 340-4695
Addresses
Street Address
750 E 34th Street
Hibbing, MN 55746
Billing Address
Fairview Health Services
PO BOX 59318
Minneapolis, MN 55459
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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