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CAH431316-00 Community Memorial Hospital (Active)
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Main Details
Name
Community Memorial Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH431316-00
Medicare Provider Number
431316
Additional Details
Current Program Status
Active
Registration Date
1/15/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/14/2013
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Community Memorial Hospital
Karen E Sjurseth, CEO
(605) 475-7401
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
111 W. 10th Avenue
Redfield, SD 57469
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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