340B Drug Pricing Program Database
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CAH241319-01 MURRAY COUNTY MEMORIAL HOSPITAL (Terminated)
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Main Details
Name
MURRAY COUNTY MEMORIAL HOSPITAL
Subdivision Name
MURRAY COUNTY CLINIC FULDA
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241319-01
Medicare Provider Number
241319
Outpatient Facility Provider Number
243446
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/20/2016
Last Recertification Date
8/28/2020
Termination Date
Termination Reason
1/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Murray County Medical Center
Robyn Christine Van Heuvelen, CFO
(507) 836-1273
Primary Contact
Murray County Memorial Hospital
Cara Mahon, Pharmacist
(507) 836-1291
Addresses
Street Address
119 NORTH ST PAUL AVE
FULDA, MN 56131-1156
Billing Address
Murray County Clinic Fulda
2042 Juniper Avenue
Slayton, MN 56172
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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