340B Drug Pricing Program Database


CAH431333-00 SANFORD CANTON-INWOOD MEDICAL CENTER (Active) - information as of 4/23/2025 10:51:20 PM

Main Details
SANFORD CANTON-INWOOD MEDICAL CENTER
Critical Access Hospital
Yes
CAH431333-00
431333


Additional Details
Active
2/15/2011
4/1/2011
3/8/2011
9/4/2024

Contacts

Sanford Health
Eric Lucas Vanden Hull, Vice President of Finance - Sioux Falls HSD
(712) 261-5275

Sanford USD Medical Center
Alyssa O Howard, Director of Pharmacy
(605) 695-1697

Addresses

440 NORTH HIAWATHA DRIVE
CANTON, SD 57013

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

Same as Street Address
Contract Pharmacies
Contract DetailPharmacy NameAddressAddress Cont.CityStateZip CodeApproval DateBegin DateCarve-In Effective DateTermination DateLast Updated On
Contract DetailHAISCH FAMILY PHARMACY303 E 5TH ST
CANTONSD57013-173501/14/201904/01/2019  04/01/2019
Contract DetailLEWIS DRUG DISTRIBUTION CENTER700 E 54TH ST N
SIOUX FALLSSD5710407/13/201510/01/2015 01/01/202006/03/2020
Contract DetailLEWIS FAMILY DRUG #60LEWIS FAMILY DRUG, LLC 715 E 5TH ST
PO BOX 291 		CANTONSD57013-182901/15/201504/01/2015  05/19/2015
Contract DetailLEWIS FAMILY DRUG #66911 W CEDAR ST STE 1
BERESFORDSD57004-160804/15/202107/01/2021  07/01/2021
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
CAH431333-01ChildCAHSANFORD CANTON-INWOOD MEDICAL CENTERSanford Canton Clinic400 N Hiawatha DrCantonSDActive
CAH431333-02ChildCAHSANFORD CANTON-INWOOD MEDICAL CENTERSanford Health Inwood Clinic - Family Practice402 Rebecca LaneInwoodIATerminated
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification9/7/2023 11:09:19 AM9/4/2024 6:38:47 AM9/4/2024 6:38 AM
DetailsLast Recertification DateUpdateRecertification9/13/2022 7:44:32 AM9/7/2023 11:09:19 AM9/7/2023 11:09 AM
ContactsAuthorizing OfficialUpdateChange RequestKnobloch, Stan Director of Finance Sanford Health Network 7124726143Vanden Hull, Eric Lucas Vice President of Finance - Sioux Falls HSD Sanford Health 71226152753/24/2023 6:40 AM
ContactsPrimary ContactUpdateChange RequestPajl, Rachel PharmD Sanford Health Network 6057641475Howard, Alyssa O Director of Pharmacy Sanford USD Medical Center 60569516973/21/2023 9:12 AM
DetailsLast Recertification DateUpdateRecertification8/30/2021 1:19:29 PM9/13/2022 7:44:32 AM9/13/2022 7:44 AM
DetailsLast Recertification DateUpdateRecertification9/1/2020 1:59:57 PM8/30/2021 1:19:29 PM8/30/2021 1:19 PM
ContactsPrimary ContactUpdateChange RequestSchulz, Sandy Pharmacist Sanford Canton-Inwood Medical Center 6057641475Pajl, Rachel PharmD Sanford Health Network 60576414753/22/2021 8:21 AM
DetailsLast Recertification DateUpdateRecertification9/10/2019 11:19:20 AM9/1/2020 1:59:57 PM9/1/2020 1:59 PM
DetailsLast Recertification DateUpdateRecertification8/28/2018 1:36:36 PM9/10/2019 11:19:20 AM9/10/2019 11:19 AM
ContactsAuthorizing OfficialUpdateProfile Change RequestKnobloch, Stan Director of Fiscal Services Sanford Health Network 7124726143Knobloch, Stan Director of Finance Sanford Health Network 712472614310/10/2018 5:00 PM
DetailsLast Recertification DateUpdateRecertification11/8/2017 11:44:12 AM8/28/2018 1:36:36 PM8/28/2018 1:36 PM
ContactsAuthorizing OfficialUpdateAO Change RequestGERHART, PAUL Director of Fiscal Services Sanford Canton-Inwood Medical Center 6057641492Knobloch, Stan Director of Fiscal Services Sanford Health Network 71247261438/28/2018 9:18 AM
DetailsLast Recertification DateUpdateRecertification8/10/2016 12:00:00 AM11/8/2017 11:44:12 AM11/8/2017 11:44 AM
ContactsPrimary ContactInsertChange Request Schulz, Sandy Pharmacist Sanford Canton-Inwood Medical Center 605764147510/18/2017 3:15 PM
ContactsAuthorizing OfficialUpdate GERHART, PAUL Director of Fiscal Services 6057641492GERHART, PAUL Director of Fiscal Services Sanford Canton-Inwood Medical Center 605764149210/4/2017 11:05 AM
ContactsAuthorizing OfficialInsert  GERHART, PAUL Director of Fiscal Services 60576414928/10/2016 9:20 AM
AddressesMain AddressInsert   440 NORTH HIAWATHA DRIVE CANTON, SD 570138/10/2016 9:20 AM
DetailsLast Recertification DateUpdate 8/10/2015 12:00:00 AM8/10/2016 12:00:00 AM8/10/2016 9:20 AM
AddressesBilling AddressInsert  SANFORD HEALTH PO BOX 5074 SIOUX FALLS, SD 57117-507412/4/2015 8:45 AM
DetailsEntity NameUpdate SANFORD CANTON-INWOODSANFORD CANTON-INWOOD MEDICAL CENTER12/4/2015 8:45 AM
DetailsLast Recertification DateUpdate 8/20/2014 12:00:00 AM8/10/2015 12:00:00 AM8/10/2015 5:32 PM
DetailsLast Recertification DateUpdate 8/23/2013 2:22:30 PM8/20/2014 12:00:00 AM8/20/2014 11:02 AM
DetailsLast Recertification DateUpdate 7/1/2012 12:00:00 AM8/23/2013 2:22:30 PM8/23/2013 2:22 PM
DetailsLast Recertification DateUpdate  7/1/2012 12:00:00 AM6/1/2012 10:18 AM
DetailsLast Recertification DateInsert   3/9/2011 12:41 PM
DetailsGrant NumberInsert   3/9/2011 12:41 PM
Details340B IDInsert  CAH431333-003/9/2011 12:41 PM
DetailsIs Authorizing Official EHB DataInsert   3/9/2011 12:41 PM
DatesLast Date That 340B Drugs PurchasedInsert   3/9/2011 12:41 PM
DetailsMedicare Provider NumberInsert  4313333/9/2011 12:41 PM
DetailsEntity NameInsert  SANFORD CANTON-INWOOD3/9/2011 12:41 PM
DetailsProgram CodeInsert  CAH3/9/2011 12:41 PM
DetailsEntity SubnameInsert   3/9/2011 12:41 PM
DatesParticipating Approval DateInsert  3/8/2011 12:00:00 AM3/9/2011 12:41 PM
DetailsStateInsert  Active3/9/2011 12:41 PM
DatesRegistration DateInsert  2/15/2011 12:00:00 AM3/9/2011 12:41 PM
DatesSigned By DateInsert  2/21/2011 12:00:00 AM3/9/2011 12:41 PM
DatesStart DateInsert  4/1/2011 12:00:00 AM3/9/2011 12:41 PM
TerminationsTermination CommentsInsert   3/9/2011 12:41 PM
TerminationsTermination DateInsert   3/9/2011 12:41 PM
TerminationsTermination Effective DateInsert   3/9/2011 12:41 PM
TerminationsTermination ReasonInsert   3/9/2011 12:41 PM