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DSH240020A Cambridge Medical Center (Terminated)
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Main Details
Name
Cambridge Medical Center
Subdivision Name
Substance Abuse-Adult
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240020A
Medicare Provider Number
240020
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/29/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/10/2012
Last Recertification Date
11/7/2017
Termination Date
Termination Reason
7/1/2018
DSH percentage below statutory minimum
Contacts
Authorizing Official
Allina Health System
Kelly John Spratt, President
(763) 688-7804
Primary Contact
240020
Nancy J. Treacy, Director of Finance
(763) 688-7965
Addresses
Street Address
701 S Dellwood St.
Cambridge, MN 55008-1920
Billing Address
Allina Health
2925 Chicago Avenue
Minneapolis, MN 55407
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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