340B Drug Pricing Program Database
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The Q2 2025 registration window for covered entities is open from 4/1/2025 - 4/15/2025.
CAH241336-01 KITTSON MEMORIAL HOSPITAL (Active)
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Main Details
Name
KITTSON MEMORIAL HOSPITAL
Subdivision Name
KITTSON MEMORIAL CLINIC - KARLSTAD - Kittson Memorial Clinic - Karlstad
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241336-01
Medicare Provider Number
241336
Outpatient Facility Provider Number
243427
Additional Details
Current Program Status
Active
Registration Date
7/1/2019
Participating Start Date
10/1/2019
Participating Approval Date
7/16/2019
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Kittson Memorial Hospital
Andrea Jane Swenson, CEO
(218) 843-3612
Primary Contact
Kittson Memorial Hospital Assn
Nicole Johnson, Hospital Pharmacist
(218) 843-3612 Ext: 152
Addresses
Street Address
205 Roosevelt Ave
Karlstad, MN 56732
Billing Address
Kittson Memorial Hospital
1010 S Birch Ave
Hallock, MN 56728
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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