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HM57117 SANFORD USD MEDICAL CENTER SIOUX FALLS (Active)
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Main Details
Name
SANFORD USD MEDICAL CENTER SIOUX FALLS
Subdivision Name
SD CHILDREN'S SPECIALTY CLINICS
Type
Comprehensive Hemophilia Treatment Center
340B ID
HM57117
Grant Number
H30MC24052
Additional Details
Current Program Status
Active
Registration Date
10/12/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/19/2023
Last Recertification Date
2/19/2025
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
1600 W 22nd St.
SIOUX FALLS, SD 57117
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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Participated starting 1/1/1997, Terminated 10/1/2023, Reinstated 1/1/2024
10/18/2023
May 2025
May 2025
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