340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MONUMENT HEALTH HOME PLUS SPECIALTY PHAR
SCH430048 MONUMENT HEALTH SPEARFISH HOSPITAL
Print
Covered Entity Details
Entity Name
MONUMENT HEALTH SPEARFISH HOSPITAL
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH430048
Entity Address
1440 NORTH MAIN
SPEARFISH, SD 57783
Medicare Provider Number
430048
Participating Start Date
3/15/2022
Last Recertification Date
9/1/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
MONUMENT HEALTH HOME PLUS SPECIALTY PHAR
Pharmacy Address
725 MEADE ST
RAPID CITY, SD 57701
Pharmacy Comments
Contract Details
Approval Date
2/25/2020
Contract Begin Date
3/15/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Thomas Worsley, President
(605) 644-4091
Contract Pharmacy Representative
Regional Health Home Plust
SCOTT PETERSON, DIRECTOR
(605) 755-7141
Signed By Date
2/25/2020
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session