340B Drug Pricing Program Database
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CAH431312-00 MARSHALL COUNTY MEMORIAL HOSPITAL (Active)
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Main Details
Name
MARSHALL COUNTY MEMORIAL HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH431312-00
Medicare Provider Number
431312
Additional Details
Current Program Status
Active
Registration Date
10/13/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/21/2016
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Marshall County Healthcare Center- Avera
Nick Fosness, CEO
(605) 448-1123
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
413 9TH STREET
BRITTON, SD 57430-2274
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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