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DSH240106T REGIONS HOSPITAL (Terminated)
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Main Details
Name
REGIONS HOSPITAL
Subdivision Name
REGIONS HOSPITAL REHABILITATION INS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240106T
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
8425 SEASONS PKWY STE 103
WOODBURY, MN 55125-4393
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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