340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH431331-00 Avera McKennan DBA Avera Dells Area Hospital (Active)
Print
Main Details
Name
Avera McKennan DBA Avera Dells Area Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH431331-00
Medicare Provider Number
431331
Additional Details
Current Program Status
Active
Registration Date
10/4/2010
Participating Start Date
1/1/2011
Participating Approval Date
10/22/2010
Last Recertification Date
8/26/2024
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
909 North Iowa Avenue
Dell Rapids, SD 57022-1231
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
5
of
5
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
5
of
5
Page:
of 1
Go
Page size:
Change
8/1/12-Phone call to Lindsey Leischner, Admin. to discuss change request. She has 2 340B ID's listed on the CR. 6/4/12 - Removed NPI # (was 1154350064) 7/25/11 updated name(was AVERA MCKENNAN DBA AVERA DELL RAPIDS AREA HEALTH CENTER) 12/21/11 added NPI # 01/12/12 - updated NPI # (was 1710089172)
08/01/2012
6/4/12 - Removed NPI # (was 1154350064) 7/25/11 updated name(was AVERA MCKENNAN DBA AVERA DELL RAPIDS AREA HEALTH CENTER) 12/21/11 added NPI # 01/12/12 - updated NPI # (was 1710089172)
06/04/2012
7/25/11 updated name(was AVERA MCKENNAN DBA AVERA DELL RAPIDS AREA HEALTH CENTER) 12/21/11 added NPI # 01/12/12 - updated NPI # (was 1710089172)
01/12/2012
7/25/11 updated name(was AVERA MCKENNAN DBA AVERA DELL RAPIDS AREA HEALTH CENTER) 12/21/11 added NPI #
12/21/2011
7/25/11 updated name(was AVERA MCKENNAN DBA AVERA DELL RAPIDS AREA HEALTH CENTER)
07/25/2011
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session