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MAYO CLINIC PHARMACY
CAH521340-02 Mayo Clinic Health System - Red Cedar
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Covered Entity Details
Entity Name
Mayo Clinic Health System - Red Cedar
Subdivision Name
MCHS- Red Cedar in Elmwood- Family Medicine
Type
Critical Access Hospital
340B ID
CAH521340-02
Entity Address
236 East Springer Avenue
Elmwood, WI 54740
Medicare Provider Number
521340
Outpatient Facility Provider Number
Participating Start Date
4/1/2013
Last Recertification Date
9/7/2021
Entity Termination Date
4/1/2022
Pharmacy Details
Pharmacy Name
MAYO CLINIC PHARMACY
Pharmacy Address
3551 Commercial Dr SW
Rochester, MN 55902
Pharmacy Comments
Contract Details
Approval Date
1/13/2020
Contract Begin Date
4/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/1/2022
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Steven Lindberg, Vice President- Red Cedar
(715) 233-7414
Contract Pharmacy Representative
Mayo Clinic
Mike O'Brien, Director
(715) 838-6762
Signed By Date
1/13/2020
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