340B Drug Pricing Program Database
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SCH350019-68 ALTRU HOSPITAL (Terminated)
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Main Details
Name
ALTRU HOSPITAL
Subdivision Name
Altru Clinic East Grand Forks - Medical Home
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH350019-68
Medicare Provider Number
350019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2020
Participating Start Date
1/1/2021
Participating Approval Date
11/16/2020
Last Recertification Date
9/1/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Altru Health System
Erin Gail Navarro, Director of Pharmacy
(701) 780-3443
Primary Contact
Altru Health System
Thomas Fuhst, Senior 340B Analyst
(701) 780-5172 Ext: 5172
Addresses
Street Address
607 DeMers Avenue
East Grand Forks, MN 56721
Billing Address
Altru Hospital 340B
Altru Health System Pharmacy
1200 S Columbia Road
Grand Forks, ND 58201
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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