340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MONUMENT HEALTH HOME PLUS HOME INFUSION
DSH430077 Monument Health Rapid City Hospital
Print
Covered Entity Details
Entity Name
Monument Health Rapid City Hospital
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH430077
Entity Address
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Medicare Provider Number
430077
Participating Start Date
4/1/2004
Last Recertification Date
9/12/2024
Pharmacy Details
Pharmacy Name
MONUMENT HEALTH HOME PLUS HOME INFUSION
Pharmacy Address
MONUMENT HEALTH HOME PLUS LLC
224 ELK ST STE 100
RAPID CITY, SD 57701-7359
Pharmacy Comments
Contract Details
Approval Date
1/3/2017
Contract Begin Date
4/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Dennis Millirons, PRESIDENT
(605) 755-8703
Contract Pharmacy Representative
Regional Health Home Plus
Brandi Tackett, Director
(605) 755-0202
Signed By Date
1/3/2017
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