340B Drug Pricing Program Database
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CAH241306-03 HealthPartners RC dba Olivia Hospital & Clinic (Active)
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Main Details
Name
HealthPartners RC dba Olivia Hospital & Clinic
Subdivision Name
Renville Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241306-03
Medicare Provider Number
241306
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/17/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/25/2017
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Hutchinson Health
Pamela J. Larson, CFO
(320) 484-4472
Primary Contact
HealthPartners RC
Michelle Golden, 340B Manager
(715) 531-6371
Addresses
Street Address
420 MAIN STREET N
RENVILLE, MN 56284
Billing Address
HealthPartners RC dba Olivia Hospital & Clinic
100 Healthy Way
Olivia, MN 56277
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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