340B Drug Pricing Program Database
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DSH240038G United Hospital (Active)
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Main Details
Name
United Hospital
Subdivision Name
Minnesota Perinatal Physicians - Woodbury
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240038G
Medicare Provider Number
240038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/30/2012
Participating Start Date
10/1/2013
Participating Approval Date
9/15/2013
Last Recertification Date
8/12/2024
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
1625 Radio Drive
250
Woodbury, MN 55125-9407
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/15/13 Enrolled 10/1/2012 and terminated 7/1/2013 due to a reported DSH percentage below the statutory minimum. Ineligible from 7/1/2013 through 9/30/2013; reinstated effective 10/1/2013.
09/15/2013
April 2025
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