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ALLINA HEALTH HEART HOSPITAL PHARMACY
DSH240038M United Hospital
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Covered Entity Details
Entity Name
United Hospital
Subdivision Name
Courage Kenny Rehab Associates (Sister Kenny Rehab Associates)
Type
Disproportionate Share Hospital
340B ID
DSH240038M
Entity Address
280 North Smith Avenue
220
St Paul, MN 55102-2459
Medicare Provider Number
240038
Outpatient Facility Provider Number
Participating Start Date
10/1/2013
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
ALLINA HEALTH HEART HOSPITAL PHARMACY
Pharmacy Address
920 E 28TH ST STE H1254
MINNEAPOLIS, MN 55407
Pharmacy Comments
Contract Details
Approval Date
10/8/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
1/1/2024
Contract Comments
Contacts
Covered Entity Signing Official
Phillip J. Krolik, VP, Finance
(651) 241-8827
Contract Pharmacy Representative
allina
Ann Byre, Director of Pharmacy Services
(612) 262-5992
Signed By Date
10/8/2019
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