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DSH430077 Monument Health Rapid City Hospital (Active)
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Main Details
Name
Monument Health Rapid City Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH430077
Medicare Provider Number
430077
Additional Details
Current Program Status
Active
Registration Date
10/19/2007
Participating Start Date
4/1/2004
Participating Approval Date
10/19/2007
Last Recertification Date
9/12/2024
Contacts
Authorizing Official
Monument Health
Ruta Paulette Davidson, President & CEO
(605) 755-9130
Primary Contact
Monument Health
Ryan Olivier, 340B Manager
(605) 366-6099
Addresses
Street Address
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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