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CAH521302-00 Mayo Clinic Health System - Oakridge, Inc (Active)
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Main Details
Name
Mayo Clinic Health System - Oakridge, Inc
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521302-00
Medicare Provider Number
521302
Additional Details
Current Program Status
Active
Registration Date
7/8/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/11/2013
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Mayo Clinic Health System-Oakridge, Inc.
Dean Eide, Vice President
(715) 597-8593
Primary Contact
Mayo Clinic Health System
Matt Lemin, Program Manager
(507) 293-3853
Addresses
Street Address
13025 8th Street
Osseo, WI 54758
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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