340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH240036AG ST. CLOUD HOSPITAL (Active)
Print
Main Details
Name
ST. CLOUD HOSPITAL
Subdivision Name
Plaza - Radiation Oncology Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH240036AG
Medicare Provider Number
240036
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/5/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/21/2016
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
CentraCare
Michael Allan Blair, Chief Financial Officer
(320) 255-5665
Primary Contact
St. Cloud Hospital
James Mahowald, Senior Director, Pharmacy Services
(320) 251-2700 Ext: 54084
Addresses
Street Address
1900 Centracare Circle
Suite 1600
Saint Cloud, MN 56303
Billing Address
Saint Cloud Hospital
1406 Sixth Avenue North
Saint Cloud, MN 56303
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
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