340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH241325-03 CCM Health (Terminated)
Print
Main Details
Name
CCM Health
Subdivision Name
CLARKFIELD CLINIC - Clarkfield Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241325-03
Medicare Provider Number
241325
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/8/2020
Participating Start Date
10/14/2020
Participating Approval Date
10/14/2020
Last Recertification Date
8/26/2022
Termination Date
Termination Reason
10/1/2023
Site closure
Contacts
Authorizing Official
CCM Health
Brian Lovdahl, CEO
(320) 321-8101
Primary Contact
CCM Health
Jamie L Malstrom, Director of Pharmacy
(320) 321-8175
Addresses
Street Address
812 10TH AVE
CLARKFIELD, MN 56223-1303
Billing Address
CCM Health
824 N 11th St
Montevideo, MN 56265
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.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
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