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DSH430077A RAPID CITY REGIONAL HOSPITAL (Terminated)
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Main Details
Name
RAPID CITY REGIONAL HOSPITAL
Subdivision Name
Hospice House
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH430077A
Medicare Provider Number
430077
Outpatient Facility Provider Number
431501
Additional Details
Current Program Status
Terminated
Registration Date
7/24/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/21/2012
Last Recertification Date
8/10/2016
Termination Date
Termination Reason
7/1/2017
For-Profit conversion
Contacts
Authorizing Official
Monument Health
Ruta Paulette Davidson, President & CEO
(605) 755-9130
Primary Contact
Regional Health
Dana Darger, Director of Pharmacy
(605) 755-8196
Addresses
Street Address
224 Elk St
Rapid City, SD 57701
Billing Address
Rapid City Regional Hospital
353 Fairmont Blvd
Rapid City, SD 57701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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