340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH521340-12 Mayo Clinic Health System - Red Cedar (Terminated)
Print
Main Details
Name
Mayo Clinic Health System - Red Cedar
Subdivision Name
Orthopedic & Rehabilitation Center - Family Medicine
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521340-12
Medicare Provider Number
521340
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/18/2022
Last Recertification Date
8/22/2023
Termination Date
Termination Reason
1/1/2024
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Mayo Clinic
Michele Eberle, Vice Chair-Administration NWWI
(715) 568-6113
Primary Contact
Mayo Clinic
Alicia Buda, Operations Manager
(507) 293-3251
Addresses
Street Address
2407 Stout Road
Menomonie, WI 54751
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.
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