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MONUMENT HEALTH HOME PLUS PHARMACY
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 PHARMACY
Pharmacy Address
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Pharmacy Comments
Contract Details
Approval Date
1/17/2017
Contract Begin Date
1/18/2017
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
9/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Mark Schmidt, President
(605) 717-6020
Contract Pharmacy Representative
Regional Health Home Plust
SCOTT PETERSON, DIRECTOR
(605) 755-7141
Signed By Date
1/17/2017
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