340B Drug Pricing Program Database
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CAH241365-00 CENTRACARE HEALTH - BENSON, LLC (Active)
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Main Details
Name
CENTRACARE HEALTH - BENSON, LLC
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241365-00
Medicare Provider Number
241365
Additional Details
Current Program Status
Active
Registration Date
5/30/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Carris Health Redwood
KIMBERLY RAE MAURER, Director of Finance
(507) 637-4500 Ext: 47315
Primary Contact
CentraCare Health - Benson, LLC
Melissa Hampton, Pharmacist
(320) 843-4232 Ext: 40020
Addresses
Street Address
1815 Wisconsin Avenue
Benson, MN 56215
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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