340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH350015BC SANFORD BISMARCK (Terminated)
Print
Main Details
Name
SANFORD BISMARCK
Subdivision Name
SANFORD BISMARCK CHILDREN'S WALK IN CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH350015BC
Medicare Provider Number
350015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/11/2016
Last Recertification Date
8/22/2018
Termination Date
Termination Reason
1/1/2019
Other
Contacts
Authorizing Official
Sanford Bismarck
Kirk Cristy, Vice President Finance
(701) 323-6000 Ext: 6310
Primary Contact
Sanford Bismarck
Tom Simmer, Pharmacy Director
(701) 323-8606
Addresses
Street Address
222 N 7TH ST.
BISMARCK, ND 58501-4436
Billing Address
Sanford Bismarck
300 N 7th St
Bismarck, ND 58501
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
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