340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCH430048-05 MONUMENT HEALTH SPEARFISH HOSPITAL (Terminated)
Print
Main Details
Name
MONUMENT HEALTH SPEARFISH HOSPITAL
Subdivision Name
MONUMENT HEALTH SURGERY CENTER
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH430048-05
Medicare Provider Number
430048
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
2/25/2020
Participating Start Date
3/15/2022
Participating Approval Date
3/9/2020
Last Recertification Date
8/14/2023
Termination Date
Termination Reason
1/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
Monument Health
Thomas Worsley, President
(605) 644-4091
Primary Contact
Monument Health
Kami Haupt, 340B Supervisor
(605) 755-7184
Addresses
Street Address
1316 N. 10TH ST
SPEARFISH, SD 57783
Billing Address
Monument Health Spearfish Hospital
1440 North Main
Spearfish, SD 57783
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participating start date 1/1/2016; Terminated 4/1/2019; Reinstated 4/1/2020.
02/26/2020
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session