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CAH241337-00 NORTH VALLEY HEALTH CENTER (Active)
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Main Details
Name
NORTH VALLEY HEALTH CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH241337-00
Medicare Provider Number
241337
Additional Details
Current Program Status
Active
Registration Date
1/6/2017
Participating Start Date
4/1/2017
Participating Approval Date
1/17/2017
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
North Valley Health Center
Jon Linnell, CEO
(218) 745-3262
Primary Contact
North Valley Health Center
Sara Kazmierczak, CNO
(218) 745-4211
Addresses
Street Address
300 WEST GOOD SAMARITAN DRIVE
WARREN, MN 56762
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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1/17/17 Participating 7/1/2014 until terminated 10/1/2015, reinstated effective 4/1/2017
01/17/2017
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