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SCH350019-16 ALTRU HOSPITAL (Active)
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Main Details
Name
ALTRU HOSPITAL
Subdivision Name
Altru Family Medicine Residency - Family Medicine
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH350019-16
Medicare Provider Number
350019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/17/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/28/2018
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
Altru Health System
Erin Gail Navarro, Director of Pharmacy
(701) 780-3443
Primary Contact
Altru Health System
Thomas Fuhst, Senior 340B Analyst
(701) 780-5172 Ext: 5172
Addresses
Street Address
725 Hamline St
Grand Forks, ND 58203
Billing Address
Altru Hospital 340B
Altru Health System Pharmacy
1200 S Columbia Rd
Grand Forks, ND 58201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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