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DSH430027CC Sanford USD Medical Center (Active)
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Main Details
Name
Sanford USD Medical Center
Subdivision Name
Sanford Sports Complex Acute Care and Orthopedic Fast Track - Acute Care
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH430027CC
Medicare Provider Number
430027
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Sanford Health
Eric Lucas Vanden Hull, Vice President of Finance - Sioux Falls HSD
(712) 261-5275
Primary Contact
Sanford USD Medical Center
Alyssa O Howard, Director of Pharmacy
(605) 695-1697
Addresses
Street Address
4000 N Brandan Ln
Sioux Falls, SD 57107
Billing Address
Sanford USD Medical Center
1305 W 18th St
Sioux Falls, SD 57117-5039
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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