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DSH240187 HUTCHINSON HEALTH (Active)
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Main Details
Name
HUTCHINSON HEALTH
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH240187
Medicare Provider Number
240187
Additional Details
Current Program Status
Active
Registration Date
4/11/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/26/2017
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Hutchinson Health
Pamela J. Larson, CFO
(320) 484-4472
Primary Contact
Hutchinson Health
Gina Jennissen, Pharmacy Manager
(320) 484-4506
Addresses
Street Address
1095 HIGHWAY 15 SOUTH
HUTCHINSON, MN 55350
Billing Address
HUTCHINSON HEALTH
1095 HIGHWAY 15 SOUTH
HUTCHINSON, MN 55350
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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