340B Drug Pricing Program Database
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DSH430077C Monument Health Rapid City Hospital (Terminated)
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Main Details
Name
Monument Health Rapid City Hospital
Subdivision Name
Monument Health Dialysis Center - Spearfish
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH430077C
Medicare Provider Number
430077
Outpatient Facility Provider Number
433506
Additional Details
Current Program Status
Terminated
Registration Date
7/24/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/31/2012
Last Recertification Date
8/12/2024
Termination Date
Termination Reason
1/1/2025
Business decision by the Covered Entity
Contacts
Authorizing Official
Monument Health
Ruta Paulette Davidson, President & CEO
(605) 755-9130
Primary Contact
Monument Health
Ryan Olivier, 340B Manager
(605) 366-6099
Addresses
Street Address
132 Yankee St
Spearfish, SD 57783
Billing Address
Monument Health Rapid City Hospital
353 Fairmont Blvd
Rapid City, SD 57701
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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