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SCH350019-106 ALTRU HOSPITAL (Active)
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Main Details
Name
ALTRU HOSPITAL
Subdivision Name
Devils Lake - General Surgery
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH350019-106
Medicare Provider Number
350019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
2/4/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/5/2025
Last Recertification Date
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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Participating Start Date 1/1/2024, Termination 10/1/2024, Reinstatement 4/1/2025
02/04/2025
April 2025
April 2025
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