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CAH241374-00 PIPESTONE COUNTY MEDICAL CENTER (Active)
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Main Details
Name
PIPESTONE COUNTY MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH241374-00
Medicare Provider Number
241374
Additional Details
Current Program Status
Active
Registration Date
9/30/2010
Participating Start Date
9/30/2010
Participating Approval Date
9/30/2010
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Pipestone County Medical Center
BRADLEY BURRIS, CEO
(507) 825-5811
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
916 4TH AVENUE SW
PIPESTONE, MN 56164
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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