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GENOA HEALTHCARE LLC
CAH241367-00 Welia Health
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Covered Entity Details
Entity Name
Welia Health
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH241367-00
Entity Address
301 Hwy 65 S
Mora, MN 55051
Medicare Provider Number
241367
Participating Start Date
10/1/2011
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
317 YORK AVENUE
SAINT PAUL, MN 55130
Pharmacy Comments
Contract Details
Approval Date
1/15/2025
Contract Begin Date
4/1/2025
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Randy William Ulseth, CEO
(320) 225-3315
Contract Pharmacy Representative
Optum
Avani Patel, VP, 340B Operations
(763) 330-5555
Signed By Date
1/15/2025
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