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CAH431333-00 SANFORD CANTON-INWOOD MEDICAL CENTER (Active)
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Main Details
Name
SANFORD CANTON-INWOOD MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH431333-00
Medicare Provider Number
431333
Additional Details
Current Program Status
Active
Registration Date
2/15/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/8/2011
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
440 NORTH HIAWATHA DRIVE
CANTON, SD 57013
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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