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MERCY HOSPITAL PHC
CAH521349-00 RIVER FALLS AREA HOSPITAL
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Covered Entity Details
Entity Name
RIVER FALLS AREA HOSPITAL
Subdivision Name
Main Hospital
Type
Critical Access Hospital
340B ID
CAH521349-00
Entity Address
1629 E. DIVISION ST.
RIVER FALLS, WI 54022-1571
Medicare Provider Number
521349
Participating Start Date
8/17/2010
Last Recertification Date
8/19/2024
Pharmacy Details
Pharmacy Name
MERCY HOSPITAL PHC
Pharmacy Address
4050 COON RAPIDS BLVD NW
COON RAPIDS, MN 55433-2522
Pharmacy Comments
Contract Details
Approval Date
1/23/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
DAVID MILLER, PRESIDENT
(715) 307-6006
Contract Pharmacy Representative
Jill Strykowski, Director of Pharmacy
(763) 236-4137
Signed By Date
1/23/2017
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