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MAYO CLINIC HLTH SYS-PHARMACY & HOME MED
CAH521302-00 Mayo Clinic Health System - Oakridge, Inc
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Covered Entity Details
Entity Name
Mayo Clinic Health System - Oakridge, Inc
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521302-00
Entity Address
13025 8th Street
Osseo, WI 54758
Medicare Provider Number
521302
Participating Start Date
10/1/2013
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
MAYO CLINIC HLTH SYS-PHARMACY & HOME MED
Pharmacy Address
13025 8TH. STREET SUITE PHM 1
P.O. BOX 70
OSSEO, WI 54758
Pharmacy Comments
Contract Details
Approval Date
9/23/2013
Contract Begin Date
10/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2020
Ownership change
Contacts
Covered Entity Signing Official
Dean Eide, Vice President
(715) 597-8593
Contract Pharmacy Representative
Mayo Clinic
Mike O'Brien, Director
(715) 838-6762
Signed By Date
9/23/2013
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