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MONUMENT HEALTH HOME PLUS HOME INFUSION
CAH431320-00 MONUMENT HEALTH LEAD-DEADWOOD HOSPITAL
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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
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
10/17/2016
Contract Begin Date
1/1/2017
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Mark Schmidt, President
(605) 717-6020
Contract Pharmacy Representative
Regional Health Home Plus
Brandi Tackett, Director
(605) 755-0202
Signed By Date
10/17/2016
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