340B Drug Pricing Program Database
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CAH241325-00 CCM Health (Active)
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Main Details
Name
CCM Health
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241325-00
Medicare Provider Number
241325
Additional Details
Current Program Status
Active
Registration Date
11/28/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/12/2011
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
CCM Health
Brian Lovdahl, CEO
(320) 321-8101
Primary Contact
CCM Health
Jamie L Malstrom, Director of Pharmacy
(320) 321-8175
Addresses
Street Address
824 N 11Th St
Montevideo, MN 56265
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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