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CAH351307-00 SMP HEALTH ST ANDREWS (Active)
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Main Details
Name
SMP HEALTH ST ANDREWS
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH351307-00
Medicare Provider Number
351307
Additional Details
Current Program Status
Active
Registration Date
7/8/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/27/2021
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
SMP Health - St. Andrew's
Courtney Vandal, CFO
(701) 228-9353
Primary Contact
SMP Health - St. Andrew's
Laurie Thompson, Director of Pharmacy
(701) 228-9364
Addresses
Street Address
316 OHMER ST
BOTTINEAU, ND 58318
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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