340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MONUMENT HEALTH HOME PLUS HOME INFUSION
CAH431323-00 MONUMENT HEALTH CUSTER HOSPITAL
Print
Covered Entity Details
Entity Name
MONUMENT HEALTH CUSTER HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431323-00
Entity Address
1220 MONTGOMERY ST
CUSTER, SD 57730
Medicare Provider Number
431323
Participating Start Date
1/1/2011
Last Recertification Date
8/29/2024
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
10/27/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
VERONICA SCHMIDT, President
(605) 673-9415
Contract Pharmacy Representative
Regional Health Home Plus
Brandi Tackett, Director
(605) 755-0202
Signed By Date
10/27/2016
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