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SCH240187-03 Hutchinson Health (Terminated)
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Main Details
Name
Hutchinson Health
Subdivision Name
Hutchinson Health Orthopaedic and Rehab Clinic
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH240187-03
Medicare Provider Number
240187
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2014
Participating Start Date
7/1/2014
Participating Approval Date
6/13/2014
Last Recertification Date
9/1/2015
Termination Date
Termination Reason
7/1/2016
DSH percentage below statutory minimum
Contacts
Authorizing Official
Hutchinson Health
Pamela J. Larson, CFO
(320) 484-4472
Primary Contact
Hutchinson Health
Pamela J. Larson, CFO
(320) 484-4472
Addresses
Street Address
1029 Highway 15 South
Hutchinson, MN 55350
Billing Address
Hutchinson Health
1095 Highway 15 South
Hutchinson, MN 55350
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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