340B Drug Pricing Program Database
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SCH350019-81 ALTRU HOSPITAL (Active)
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Main Details
Name
ALTRU HOSPITAL
Subdivision Name
Devils Lake - Ear, Nose, and Throat
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH350019-81
Medicare Provider Number
350019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/4/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/6/2023
Last Recertification Date
9/5/2024
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
1001 7th St NE
Devils Lake, ND 58301
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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