340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
ESSENTIA HEALTH DULUTH 2ND STREET PHARMA
CAH241313-00 BRIDGES MEDICAL CENTER
Print
Covered Entity Details
Entity Name
BRIDGES MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241313-00
Entity Address
201 9TH ST W
ADA, MN 56510
Medicare Provider Number
241313
Participating Start Date
9/28/2010
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
ESSENTIA HEALTH DULUTH 2ND STREET PHARMA
Pharmacy Address
402 E 2ND ST
SUITE 6320
DULUTH, MN 55805
Pharmacy Comments
Contract Details
Approval Date
4/15/2024
Contract Begin Date
7/1/2024
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Kimberly Bodensteiner, CFO
(218) 435-7633
Contract Pharmacy Representative
Essentia Health
Kenzie Hohman, Senior Director of Ambulatory Pharmacy
(715) 817-7171
Signed By Date
4/15/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session