340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH240006AQ OLMSTED MEDICAL CENTER (Active)
Print
Main Details
Name
OLMSTED MEDICAL CENTER
Subdivision Name
Skyway Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240006AQ
Medicare Provider Number
240006
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/1/2014
Participating Start Date
4/1/2017
Participating Approval Date
12/4/2014
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Olmsted Medical Center
Kevin Higgins, Chief Financial Officer
(507) 529-6619
Primary Contact
Olmsted Medical Center Hospital Pharmacy
Jennifer King, 340B Program Coordinator
(507) 529-6870
Addresses
Street Address
318 First Avenue SW
Suite 203
Rochester, MN 55902
Billing Address
Olmsted Medical Center
1650 4th St SE
Rochester, MN 55904
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participated starting 1/1/2015, terminated 10/1/2015. Reinstated 4/1/2017.
03/15/2017
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session