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CAH431317-00 Landmann-Jungman Memorial Hospital (Active)
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Main Details
Name
Landmann-Jungman Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH431317-00
Medicare Provider Number
431317
Additional Details
Current Program Status
Active
Registration Date
3/19/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/7/2012
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Landmann-Jungman Memorial Hospital Inc.
Melissa Gale, CEO
(605) 583-2226
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
600 Billars St
Scotland, SD 57059-2026
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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