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CAH241341-00 Appleton Area Health (Active)
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Main Details
Name
Appleton Area Health
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241341-00
Medicare Provider Number
241341
Additional Details
Current Program Status
Active
Registration Date
4/3/2013
Participating Start Date
10/1/2013
Participating Approval Date
4/10/2013
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Appleton Area Health
Ranita Marie Bothun, COO
(320) 289-8530
Primary Contact
Appleton Area Health
Taylor Jean Lee, Pharmacist
(320) 289-2422 Ext: 8566
Addresses
Street Address
30 South Behl Street
Appleton, MN 56208
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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