340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
REGIONAL HEALTH HOME PLUS LONG TERM CARE
CAH431320-00 MONUMENT HEALTH LEAD-DEADWOOD HOSPITAL
Print
Covered Entity Details
Entity Name
MONUMENT HEALTH LEAD-DEADWOOD HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH431320-00
Entity Address
61 CHARLES ST
DEADWOOD, SD 57732
Medicare Provider Number
431320
Participating Start Date
1/1/2011
Last Recertification Date
8/29/2024
Pharmacy Details
Pharmacy Name
REGIONAL HEALTH HOME PLUS LONG TERM CARE
Pharmacy Address
REGIONAL HEALTH HOME PLUS LLC
1906 LOMBARDY DR STE 101
RAPID CITY, SD 57703-4132
Pharmacy Comments
Contract Details
Approval Date
2/28/2013
Contract Begin Date
4/1/2013
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
12/15/2019
Pharmacy closed
Contacts
Covered Entity Signing Official
Sherry Bea Smith, CEO-Lead-Deadwood Regional Hospital
(605) 719-6122
Contract Pharmacy Representative
Timothy Sughrue, CEO
(605) 719-1000
Signed By Date
1/15/2013
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