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CAH241346-00 CANNON FALLS MEDICAL CENTER - MAYO (Active)
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Main Details
Name
CANNON FALLS MEDICAL CENTER - MAYO
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH241346-00
Medicare Provider Number
241346
Additional Details
Current Program Status
Active
Registration Date
1/10/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/17/2017
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Mayo Clinic
Travis C. Paul, Regional Chair of Administration SWMN
(608) 392-9716
Primary Contact
Mayo Clinic Health System
Matt Lemin, Program Manager
(507) 293-3853
Addresses
Street Address
32021 COUNTY 24 BOULEVARD
CANNON FALLS, MN 55009
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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