340B Drug Pricing Program Database
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DSH350015BA SANFORD BISMARCK (Active)
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Main Details
Name
SANFORD BISMARCK
Subdivision Name
SANFORD BISMARCK PLASTIC SURGERY CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH350015BA
Medicare Provider Number
350015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/11/2016
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Sanford Bismarck
Leigh Ann Thompson, Chief Financial Officer
(701) 323-6720
Primary Contact
Sanford Bismarck
John Savageau, Director - Pharmacy
(701) 323-6186
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
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