340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH521315-03 Mayo Clinic Health System Northland (Active)
Print
Main Details
Name
Mayo Clinic Health System Northland
Subdivision Name
MCHS-NORTHLAND IN RICE LAKE - Orthopedic Surgery
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521315-03
Medicare Provider Number
521315
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2018
Participating Start Date
4/1/2018
Participating Approval Date
2/15/2018
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Mayo Clinic
Michele Eberle, Vice Chair-Administration NWWI
(715) 568-6113
Primary Contact
Mayo Clinic Health System
Matt Lemin, Program Manager
(507) 293-3853
Addresses
Street Address
331 S MAIN STREET
SUITE H
RICE LAKE, WI 54868-2239
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session