340B Drug Pricing Program Database
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DSH240038AF United Hospital (Active)
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Main Details
Name
United Hospital
Subdivision Name
Courage Kenny Sports & Physical Therapy - Hastings YMCA - PT
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH240038AF
Medicare Provider Number
240038
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/6/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/3/2023
Last Recertification Date
8/12/2024
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
85 Pleasant Dr
Hastings, MN 55033-1648
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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