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CAH431300-00 MADISON COMMUNITY HOSPITAL (Active)
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Main Details
Name
MADISON COMMUNITY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
No
340B ID
CAH431300-00
Medicare Provider Number
431300
Additional Details
Current Program Status
Active
Registration Date
10/5/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/17/2016
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Madison Community Hospital
Teresa Rae Mallett, CEO
(605) 256-8605
Primary Contact
Madison Community Hospital
Ian Alverson, Pharmacist
(605) 256-6551 Ext: 8795
Addresses
Street Address
323 SW 10th St.
MADISON, SD 57042-3200
Billing Address
Madison Community Hospital
323 S.W. 10th St.
Madison, SD 57042-3200
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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