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DSH240084U ESSENTIA HEALTH VIRGINIA (Terminated)
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Main Details
Name
ESSENTIA HEALTH VIRGINIA
Subdivision Name
Essentia Health Virginia Clinic / General Internal Medicine - VIR
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240084U
Medicare Provider Number
240084
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/3/2023
Participating Start Date
10/1/2023
Participating Approval Date
9/6/2023
Last Recertification Date
Termination Date
Termination Reason
4/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
Essentia Health
Sam Stone, COO
(218) 742-8600 Ext: 2496
Primary Contact
Essentia Health
Rhonda Brooks-Dockendorf, 340B Program Coordinator
(218) 786-4423
Addresses
Street Address
1101 9th Street North
Virginia, MN 55792
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting- 7/1/2015 terminated starting- 1/1/2020 reinstated- 10/1/2023
08/08/2023
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