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CAH431329-00 SANFORD HEALTH NETWORK DBA SANFORD CHAMBERLAIN MEDICAL CENTER (Active)
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Main Details
Name
SANFORD HEALTH NETWORK DBA SANFORD CHAMBERLAIN MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH431329-00
Medicare Provider Number
431329
Additional Details
Current Program Status
Active
Registration Date
11/23/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/24/2010
Last Recertification Date
9/4/2024
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
300 S BYRON BLVD
CHAMBERLAIN, SD 57325
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/10/12 - updated entity name (was SANFORD HEALTH NETWORK DBA SANFORD MID DAKOTA MEDICAL CENTER) 1/5/2011- CORRECTED ZIP (WAS 57370)
02/10/2012
1/5/2011- CORRECTED ZIP (WAS 57370)
01/05/2011
May 2025
May 2025
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