340B Drug Pricing Program Database
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CAH241375-00 MINNESOTA VALLEY HEALTH CENTER INC. (Terminated)
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Main Details
Name
MINNESOTA VALLEY HEALTH CENTER INC.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241375-00
Medicare Provider Number
241375
Additional Details
Current Program Status
Terminated
Registration Date
10/2/2019
Participating Start Date
1/1/2020
Participating Approval Date
10/23/2019
Last Recertification Date
9/8/2024
Termination Date
Termination Reason
4/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Ridgeview
Brent Wordelman, Executive Director of Finance
(952) 442-2191 Ext: 35705
Primary Contact
Ridgeview
Laura Ward, Pharmacist in Charge
(507) 964-8506
Addresses
Street Address
621 SOUTH FOURTH STREET
LE SUEUR, MN 56058
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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