340B Drug Pricing Program Database
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DSH240084CX ESSENTIA HEALTH VIRGINIA (Terminated)
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Main Details
Name
ESSENTIA HEALTH VIRGINIA
Subdivision Name
Essentia Health Hibbing Clinic / Vascular Diagnostics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240084CX
Medicare Provider Number
240084
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/7/2020
Participating Start Date
1/1/2021
Participating Approval Date
11/16/2020
Last Recertification Date
9/9/2021
Termination Date
Termination Reason
7/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
Essentia Health
Sam Stone, COO
(218) 742-8600 Ext: 2496
Primary Contact
Essentia Health
Ryan Olivier, Pharmacy 340B Manager
(218) 576-0677
Addresses
Street Address
730 E 34TH ST
HIBBING, MN 55746
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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