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CAH431306-00 Platte Community Memorial Hospital, Inc. (Active)
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Main Details
Name
Platte Community Memorial Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH431306-00
Medicare Provider Number
431306
Additional Details
Current Program Status
Active
Registration Date
1/3/2013
Participating Start Date
4/1/2013
Participating Approval Date
2/14/2013
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Platte Community Memoria Hospial Inc
Mark Burket, CEO
(605) 337-3364
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
601 EAST 7TH STREET
Platte, SD 57369
Billing Address
Platte Health Center Avera
601 E 7th Street
PO Box 200
Platte, SD 57369
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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020813 - Recommend approval documentation received.
02/08/2013
April 2025
April 2025
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