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CAH431308-00 EUREKA COMMUNITY HEALTH SERVICES (Active)
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Main Details
Name
EUREKA COMMUNITY HEALTH SERVICES
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH431308-00
Medicare Provider Number
431308
Additional Details
Current Program Status
Active
Registration Date
4/8/2022
Participating Start Date
7/1/2022
Participating Approval Date
4/12/2022
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Eureka Community Health Services
Carmen Weber, CEO
(605) 284-2145 Ext: 2661
Primary Contact
Avera
Brandy Friesen, Pharmacy Regulatory Analyst
(605) 322-8446
Addresses
Street Address
200 J AVE
EUREKA, SD 57437
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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