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DSH430027EC Sanford USD Medical Center (Active)
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Main Details
Name
Sanford USD Medical Center
Subdivision Name
Rock Rapids Clinic Nursing Procedure - Rock Rapids Clinic Nursing Procedure
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH430027EC
Medicare Provider Number
430027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/12/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/18/2024
Last Recertification Date
Contacts
Authorizing Official
Sanford Health
Eric Lucas Vanden Hull, Vice President of Finance - Sioux Falls HSD
(712) 261-5275
Primary Contact
Sanford USD Medical Center
Alyssa O Howard, Director of Pharmacy
(605) 695-1697
Addresses
Street Address
104 Buncombe Dr
Rock Rapids, IA 51246-1003
Billing Address
Sanford USD Medical Center
1305 W 18th St
Sioux Falls, SD 57117-5039
Comments
Medicaid Billing
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