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CAH431314-00 BENNETT COUNTY HOSPITAL (Active)
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Main Details
Name
BENNETT COUNTY HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH431314-00
Medicare Provider Number
431314
Additional Details
Current Program Status
Active
Registration Date
1/3/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/4/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Bennett County Hospital
Shandel Anne Anson, CEO
(605) 685-6622 Ext: 1132
Primary Contact
Bennett County Hospital and Nursing Home
Desiree Dawn Moreland, Pharmacy Manager
(605) 685-6622 Ext: 1151
Addresses
Street Address
102 MAJOR ALLEN STREET
MARTIN, SD 57551
Billing Address
Bennett County Hospital
P.O. Box 70
Martin, SD 57551-0070
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date (4/1/2017), until terminated effective date (1/1/2018), reinstatement effective date (04/01/2018)
01/04/2018
1/17/17 participated from 1/1/2013 until terminated effective 10/1/2016, reinstated effective 4/1/2017
01/17/2017
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