340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH240057W ABBOTT NORTHWESTERN HOSPITAL (Terminated)
Print
Main Details
Name
ABBOTT NORTHWESTERN HOSPITAL
Subdivision Name
Post Transplant Services - Transplant
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240057W
Medicare Provider Number
240057
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2019
Participating Start Date
1/1/2020
Participating Approval Date
11/8/2019
Last Recertification Date
9/8/2020
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
Allina Health
Tony M Collins-Kwong, Director, Strategic Sourcing and Services, Pharmacy Services
(612) 262-4785
Primary Contact
Allina Health
Jeremy Enger, 340B Program Manager
(612) 760-7836
Addresses
Street Address
920 E. 28th Street
Abbott Northwestern Kidney Transplant Providers
Minneapolis, MN 55407
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