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CAH241379-00 Prairie Ridge Hospital and Health Services (Active)
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Main Details
Name
Prairie Ridge Hospital and Health Services
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241379-00
Medicare Provider Number
241379
Additional Details
Current Program Status
Active
Registration Date
10/14/2013
Participating Start Date
1/1/2014
Participating Approval Date
11/3/2013
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Prairie Ridge Hospital and Health Services
Danielle Janice Lesmeister, Administrator of Patient Care
(218) 685-7344
Primary Contact
Prairie Ridge Hospital and Health Services
Renae Lien, Pharmacy Director
(218) 736-8548
Addresses
Street Address
1411 Hwy 79 East
Elbow Lake, MN 56531
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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