340B Drug Pricing Program Database
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DSH240020 CAMBRIDGE MEDICAL CENTER (Active)
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Main Details
Name
CAMBRIDGE MEDICAL CENTER
Subdivision Name
Hospital
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240020
Medicare Provider Number
240020
Additional Details
Current Program Status
Active
Registration Date
7/9/2019
Participating Start Date
10/1/2019
Participating Approval Date
8/2/2019
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Allina Health
Tony M Collins-Kwong, Director, Strategic Sourcing and Services, Pharmacy Services
(612) 262-4785
Primary Contact
Allina Health
Jeremy Enger, 340B Program Manager
(612) 760-7836
Addresses
Street Address
701 SOUTH DELLWOOD
CAMBRIDGE, MN 55008
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating start date 1/1/2016. Termination date 10/1/2016. Reinstatement date 10/1/2019.
07/23/2019
April 2025
April 2025
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