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CAH521340-00 Mayo Clinic Health System - Red Cedar (Active)
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Main Details
Name
Mayo Clinic Health System - Red Cedar
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521340-00
Medicare Provider Number
521340
Additional Details
Current Program Status
Active
Registration Date
11/29/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/14/2011
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Mayo Clinic
Michele Eberle, Vice Chair-Administration NWWI
(715) 568-6113
Primary Contact
Mayo Clinic Health System
Matt Lemin, Program Manager
(507) 293-3853
Addresses
Street Address
2321 Stout Road
Menomonie, WI 54751
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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