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DSH240106P REGIONS HOSPITAL (Terminated)
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Main Details
Name
REGIONS HOSPITAL
Subdivision Name
HSC HAND THERAPY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240106P
Medicare Provider Number
240106
Outpatient Facility Provider Number
240106
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/3/2014
Last Recertification Date
8/17/2016
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Regions Hospital
HEIDI CONRAD, CFO
(651) 254-0900
Primary Contact
Regions Hospital
HEIDI CONRAD, CFO
(651) 254-0900
Addresses
Street Address
401 PHALEN BLVD
ST PAUL, MN 55130-5302
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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