340B Drug Pricing Program Database
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CAH241360-09 DEER RIVER HEALTHCARE CENTER (Terminated)
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Main Details
Name
DEER RIVER HEALTHCARE CENTER
Subdivision Name
ESSENTIA HEALTH GRAND RAPIDS CLINIC / Non Invasive
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241360-09
Medicare Provider Number
241360
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/16/2017
Last Recertification Date
11/28/2017
Termination Date
Termination Reason
7/1/2018
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Essentia Health
Steven Feltman, Senior Finance Advisor
(218) 259-8763
Primary Contact
Essentia Health
Bryan Lundberg, 340b Program Manager
(218) 828-7143
Addresses
Street Address
1542 GOLF COURSE RD STE 203
Grand Rapids, MN 55744-3557
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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