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DSH240106C REGIONS HOSPITAL (Terminated)
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Main Details
Name
REGIONS HOSPITAL
Subdivision Name
HSC Dexascan
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240106C
Medicare Provider Number
240106
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
5/18/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/28/2012
Last Recertification Date
8/17/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Regions Hospital
HEIDI CONRAD, CFO
(651) 254-0900
Primary Contact
Regions Hospital
Craig L. Harvey, Director of Pharmacy Svcs
(651) 254-9560
Addresses
Street Address
401 Phalen Blvd
St. Paul, MN 55130
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/25 Updated. I dont think the difference of .5% should hold up a registration approval (unless its below 11.76 of course). 6/21/12 DSH% diff for main hosp;
06/26/2012
6/21/12 DSH% diff for main hosp;
06/21/2012
May 2025
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