340B Drug Pricing Program Database

Name

DEER RIVER HEALTHCARE CENTER INC

Subdivision Name

Essentia Health Remer Clinic / Family Practice

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH241360-10

Medicare Provider Number

241360

Outpatient Facility Provider Number

Current Program Status

Terminated

Registration Date

1/8/2019

Participating Start Date

4/1/2019

Participating Approval Date

1/23/2019

Last Recertification Date

9/9/2021

Termination Date
Termination Reason

7/1/2022
Business decision by the Covered Entity

Authorizing Official

Essentia Health
Joshua Senger, Finance Director
(701) 212-7559

Primary Contact

Essentia Health
Ryan Olivier, Pharmacy 340B Manager
(218) 576-0677

Street Address

9 BIRCH ST NE
REMER, MN 56672

Billing Address
Same as Street Address