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CAH241371-00 SANFORD MEDICAL CENTER LUVERNE (Active)
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Main Details
Name
SANFORD MEDICAL CENTER LUVERNE
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH241371-00
Medicare Provider Number
241371
Additional Details
Current Program Status
Active
Registration Date
9/2/2010
Participating Start Date
1/1/2011
Participating Approval Date
10/28/2010
Last Recertification Date
9/3/2024
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 N KNISS AVENUE
LUVERNE, MN 56156
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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