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CAH431337-00 AVERA HAND COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
AVERA HAND COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH431337-00
Medicare Provider Number
431337
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
8/22/2024
Contacts
Authorizing Official
Avera
Melissa Goff, Vice President - Pharmacy
(605) 322-8548
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
300 W 5TH ST
MILLER, SD 57362
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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07/25/11 updated name(was AVERA HAND COUNTY MEMORIAL HOSPITAL AND CLINIC)
07/25/2011
April 2025
April 2025
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