Covered Entity Details

CAH521351-00 REEDSBURG AREA MEDICAL CENTER (Active) - information as of 5/27/2025 11:39:15 PM

Main Details

Name

REEDSBURG AREA MEDICAL CENTER

Subdivision Name

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH521351-00

Medicare Provider Number

521351

Additional Details

Current Program Status

Active

Registration Date

11/17/2010

Participating Start Date

1/1/2011

Participating Approval Date

11/18/2010

Last Recertification Date

8/30/2024

Contacts

Authorizing Official

Reedsburg Area Medical Center
ROBERT VANMEETEREN, CEO/PRESIDENT
(608) 524-6487

Primary Contact

Reedsburg Area Medical Center
Tiaha McGettigan, Lead Pharmacist
(608) 768-6223

Addresses

Street Address

2000 N DEWEY AVE
REEDSBURG, WI 53959

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

Reedsburg Area Medical Center Community Pharmacy
1900 N Dewey Avenue
Reedsburg, WI 53959

Shipping Address 2

Reedsburg Area Medical Center Viking Pharmacy
150 Viking Drive
Reedsburg, WI 53959

Shipping Address 3

Reedsburg Area Medical Center
2000 N Dewey Avenue
Reedsburg, WI 53959

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ACCREDO HEALTH GROUP INC	3000 ERICSSON DRIVE, SUITE 100		WARRENDALE	PA	15086-7502	09/27/2022	09/28/2022		09/28/2022
Contract Detail	ACCREDO HEALTH GROUP INC	1620 CENTURY CENTER PKWY	# 109	MEMPHIS	TN	38134-8849	09/27/2022	09/28/2022		09/28/2022
Contract Detail	ACCREDO HEALTH GROUP INC	2040 W RIO SALADO PKWY STE 101B		TEMPE	AZ	85281-2010	09/27/2022	09/28/2022		09/28/2022
Contract Detail	ACCREDO HEALTH GROUP, INC.	2 BOULDEN CIR STE 1		NEW CASTLE	DE	19720-3492	09/27/2022	09/28/2022		09/28/2022
Contract Detail	ACCREDO HEALTH GROUP, INC.	4750 E 450 S	SUITE A	WHITESTOWN	IN	46075	09/27/2022	09/28/2022		09/28/2022
Contract Detail	ACCREDO HEALTH GROUP, INC.	2825 W PERIMETER RD STE 112		INDIANAPOLIS	IN	46241	09/27/2022	09/28/2022		09/28/2022
Contract Detail	ACCREDO HEALTH GROUP, INC.	6272 LEE VISTA BLVD STE 100		ORLANDO	FL	32822	09/27/2022	09/28/2022		09/28/2022
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	06/29/2020	06/29/2020		06/29/2020
Contract Detail	ESI MAIL PHARMACY SERVICE	DBA EXPRESS SCRIPTS	7909 S HARDY DR STE 106	TEMPE	AZ	85284-1112	09/27/2022	09/28/2022		09/28/2022
Contract Detail	EXPRESS SCRIPTS	ESI MAIL PHARMACY SERVICE INC	4600 N HANLEY RD	SAINT LOUIS	MO	63134	09/27/2022	09/28/2022		09/28/2022
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	2040 ROUTE 130 NORTH	BURLINGTON	NJ	08016	09/27/2022	09/28/2022		09/28/2022
Contract Detail	EXPRESS SCRIPTS PHARMACY, INC.	DBA EXPRESS SCRIPTS	4750 E. 450 S.	WHITESTOWN	IN	46075	09/27/2022	09/28/2022		09/28/2022
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	06/29/2020	06/29/2020	10/01/2022	08/07/2023
Contract Detail	REEDSBURG AREA MEDICAL CENTER COMMUNITY	RAMC	1900 N DEWEY AVE	REEDSBURG	WI	53959-2214	10/06/2015	01/01/2016	06/30/2016	07/05/2016
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	04/08/2021	07/01/2021		07/01/2021
Contract Detail	WAL-MART PHARMACY 10-1396	920 HIGHWAY 12		BARABOO	WI	53913	04/08/2021	07/01/2021		07/01/2021
Contract Detail	WAL-MART PHARMACY 10-3505	130 COMMERCE STREET		WISCONSIN DELLS	WI	53965	04/08/2021	07/01/2021		07/01/2021
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	04/08/2021	07/01/2021		07/01/2021
Contract Detail	WALGREEN CO	DBA: WALGREENS #11277	333 PHILLIPS BLVD	SAUK CITY	WI	53583	06/29/2020	06/29/2020		06/29/2020
Contract Detail	Walgreen CO	DBA Walgreens Central Fill #21417	599 S Schmidt Rd Ste A	Bolingbrook	IL	60440-9405	07/14/2023	10/01/2023		10/01/2023
Contract Detail	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #20582	432 S. PARK ST.	MADISON	WI	53715	06/29/2020	06/29/2020		06/29/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 07882	603 W PINE STREET	BARABOO	WI	53913	06/29/2020	06/29/2020		06/29/2020
Contract Detail	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #15322	826 N PLANKINTON AVE STE 100	MILWAUKEE	WI	53203	06/29/2020	06/29/2020		06/29/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 09008	403 GATEWAY AVE	MAUSTON	WI	53948	06/29/2020	06/29/2020		06/29/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 10237	1100 E MAIN ST	REEDSBURG	WI	53959	06/29/2020	06/29/2020		06/29/2020
Contract Detail	WALGREEN CO.	DBA: WALGREENS # 06885	300 HWY 13	WISCONSIN DELLS	WI	53965	06/29/2020	06/29/2020		06/29/2020
Contract Detail	WALGREEN CO.	WALGREENS SPECIALTY PHARMACY #21254	2265 N MAYFAIR RD.	WAUWATOSA	WI	53226	06/29/2020	06/29/2020		06/29/2020
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	06/29/2020	06/29/2020		06/29/2020
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	06/29/2020	06/29/2020	11/15/2021	11/15/2021
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	06/29/2020	06/29/2020		06/29/2020
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	06/29/2020	06/29/2020		06/29/2020

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAH521351-01	Child	CAH	REEDSBURG AREA MEDICAL CENTER	RAMC Rural Health Clinic	1900 N DEWEY AVENUE	REEDSBURG	WI	Active
CAH521351-02	Child	CAH	REEDSBURG AREA MEDICAL CENTER	RAMC Specialty Center - Chemotherapy	1104 21st Street	Reedsburg	WI	Active
CAH521351-03	Child	CAH	REEDSBURG AREA MEDICAL CENTER	REEDSBURG AREA MEDICAL CENTER - RAMC Specialty Center - Audiology	1104 21ST ST	REEDSBURG	WI	Active
CAH521351-04	Child	CAH	REEDSBURG AREA MEDICAL CENTER	REEDSBURG AREA MEDICAL CENTER - RAMC Specialty Center - Dermatology	1104 21ST ST	REEDSBURG	WI	Active
CAH521351-05	Child	CAH	REEDSBURG AREA MEDICAL CENTER	REEDSBURG AREA MEDICAL CENTER - RAMC Specialty Center - Urology	1104 21ST ST	REEDSBURG	WI	Terminated
CAH521351-06	Child	CAH	REEDSBURG AREA MEDICAL CENTER	REEDSBURG AREA MEDICAL CENTER - RAMC Specialty Center - Orthopedics	1104 21ST ST	REEDSBURG	WI	Active
CAH521351-07	Child	CAH	REEDSBURG AREA MEDICAL CENTER	REEDSBURG AREA MEDICAL CENTER - RAMC Specialty Center - Cardiology	1104 21ST ST	REEDSBURG	WI	Active
CAH521351-08	Child	CAH	REEDSBURG AREA MEDICAL CENTER	REEDSBURG AREA MEDICAL CENTER - RAMC Specialty Center - Gynecology	1104 21ST ST	REEDSBURG	WI	Terminated
CAH521351-09	Child	CAH	REEDSBURG AREA MEDICAL CENTER	RAMC Specialty Center - Podiatry - RAMC Specialty Center - Podiatry	1104 21st Street	Reedsburg	WI	Active
CAH521351-10	Child	CAH	REEDSBURG AREA MEDICAL CENTER	RAMC Specialty Center - General Surgery - RAMC Specialty Center - General Surgery	1104 21st Street	Reedsburg	WI	Active
CAH521351-11	Child	CAH	REEDSBURG AREA MEDICAL CENTER	REEDSBURG AREA MEDICAL CENTER - RAMC Specialty Center - Sleep Lab	1104 21ST ST	REEDSBURG	WI	Active
CAH521351-12	Child	CAH	REEDSBURG AREA MEDICAL CENTER	Physicians Group - Walk-in Clinic	1900 N Dewey Ave	Reedsburg	WI	Active
CAH521351-13	Child	CAH	REEDSBURG AREA MEDICAL CENTER	Physicians Group - Behavioral Health	1900 N Dewey Ave	Reedsburg	WI	Active
CAH521351-14	Child	CAH	REEDSBURG AREA MEDICAL CENTER	Physicians Group - PG - OB/GYN	1900 N Dewey Ave	Reedsburg	WI	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	8/31/2023 6:49:15 AM	8/30/2024 7:32:29 AM	8/30/2024 7:32 AM
Details	Last Recertification Date	Update	Recertification	9/12/2022 2:49:36 PM	8/31/2023 6:49:15 AM	8/31/2023 6:49 AM
Contacts	Primary Contact	Update	Change Request	Ambord, Hannet T. Director of Pharmacy RAMC 6087686295	McGettigan, Tiaha Lead Pharmacist Reedsburg Area Medical Center 6087686223	7/14/2023 3:14 PM
Details	Last Recertification Date	Update	Recertification	8/27/2021 11:33:27 AM	9/12/2022 2:49:36 PM	9/12/2022 2:49 PM
Medicaid Billing	Medicaid: Number	Delete	Change Request	33165100 (WI)		10/7/2021 2:21 PM
Medicaid Billing	NPI: Number	Delete	Change Request	1558574830 (WI)		10/7/2021 2:21 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	100075635 (WI)		8/27/2021 11:33 AM
Medicaid Billing	Medicaid: Number	Delete	Recertification	100046796 (WI)		8/27/2021 11:33 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1255832416 (WI)		8/27/2021 11:33 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1396857215 (WI)		8/27/2021 11:33 AM
Details	Last Recertification Date	Update	Recertification	9/3/2020 12:42:43 PM	8/27/2021 11:33:27 AM	8/27/2021 11:33 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	4/8/2021 11:20 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		33165100	4/8/2021 11:20 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WI	4/8/2021 11:20 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	4/8/2021 11:20 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		100075635	4/8/2021 11:20 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WI	4/8/2021 11:20 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Change Request		False	4/8/2021 11:20 AM
Medicaid Billing	Medicaid: Number	Insert	Change Request		100046796	4/8/2021 11:20 AM
Medicaid Billing	Medicaid: State	Insert	Change Request		WI	4/8/2021 11:20 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1558574830	4/8/2021 11:20 AM
Medicaid Billing	NPI: State	Insert	Change Request		WI	4/8/2021 11:20 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1255832416	4/8/2021 11:20 AM
Medicaid Billing	NPI: State	Insert	Change Request		WI	4/8/2021 11:20 AM
Medicaid Billing	NPI: Number	Insert	Change Request		1396857215	4/8/2021 11:20 AM
Medicaid Billing	NPI: State	Insert	Change Request		WI	4/8/2021 11:20 AM
Details	Last Recertification Date	Update	Recertification	8/19/2019 1:32:16 PM	9/3/2020 12:42:43 PM	9/3/2020 12:42 PM
Addresses	Shipping Address	Insert	Change Request		Reedsburg Area Medical Center 2000 N Dewey Avenue Reedsburg, WI 53959	8/19/2019 1:52 PM
Details	Last Recertification Date	Update	Recertification	8/21/2018 5:52:18 PM	8/19/2019 1:32:16 PM	8/19/2019 1:32 PM
Details	Last Recertification Date	Update	Recertification	11/15/2017 2:59:57 PM	8/21/2018 5:52:18 PM	8/21/2018 5:52 PM
Addresses	Shipping Address	Insert	Change Request		Reedsburg Area Medical Center Viking Pharmacy 150 Viking Drive Reedsburg, WI 53959	3/13/2018 3:43 PM
Details	Last Recertification Date	Update	Recertification	8/10/2016 12:00:00 AM	11/15/2017 2:59:57 PM	11/15/2017 2:59 PM
Contacts	Authorizing Official	Update		VANMEETEREN, ROBERT CEO/PRESIDENT 6085246487	VANMEETEREN, ROBERT CEO/PRESIDENT Reedsburg Area Medical Center 6085246487	11/14/2017 12:07 PM
Contacts	Primary Contact	Update		Ambord, Hannet T. Director of Pharmacy 6087686295	Ambord, Hannet T. Director of Pharmacy RAMC 6087686295	10/24/2017 9:23 AM
Contacts	Primary Contact	Update		Steiner, Matt Director of Pharmacy 6087686295	Ambord, Hannet T. Director of Pharmacy 6087686295	6/27/2017 8:00 AM
Contacts	Authorizing Official	Insert			VANMEETEREN, ROBERT CEO/PRESIDENT 6085246487	6/27/2017 8:00 AM
Addresses	Main Address	Insert			2000 N DEWEY AVE REEDSBURG, WI 53959	8/10/2016 11:33 AM
Details	Last Recertification Date	Update		8/10/2015 12:00:00 AM	8/10/2016 12:00:00 AM	8/10/2016 11:33 AM
Addresses	Shipping Address	Insert			Reedsburg Area Medical Center Community Pharmacy 1900 N Dewey Avenue Reedsburg, WI 53959	3/31/2016 12:04 PM
Contacts	Primary Contact	Insert			Steiner, Matt Director of Pharmacy 6087686295	10/22/2015 4:21 PM
Details	Last Recertification Date	Update		8/12/2014 12:00:00 AM	8/10/2015 12:00:00 AM	8/10/2015 9:48 AM
Details	Last Recertification Date	Update		9/5/2013 10:11:09 AM	8/12/2014 12:00:00 AM	8/12/2014 10:22 AM
Details	Last Recertification Date	Update		7/1/2012 12:00:00 AM	9/5/2013 10:11:09 AM	9/5/2013 10:11 AM
Details	Last Recertification Date	Update			7/1/2012 12:00:00 AM	6/1/2012 10:25 AM
Details	Last Recertification Date	Insert				11/23/2010 1:54 PM
Details	Grant Number	Insert				11/23/2010 1:54 PM
Details	340B ID	Insert			CAH521351-00	11/23/2010 1:54 PM
Details	Is Authorizing Official EHB Data	Insert				11/23/2010 1:54 PM
Dates	Last Date That 340B Drugs Purchased	Insert				11/23/2010 1:54 PM
Details	Medicare Provider Number	Insert			521351	11/23/2010 1:54 PM
Details	Entity Name	Insert			REEDSBURG AREA MEDICAL CENTER	11/23/2010 1:54 PM
Details	Program Code	Insert			CAH	11/23/2010 1:54 PM
Details	Entity Subname	Insert				11/23/2010 1:54 PM
Dates	Participating Approval Date	Insert			11/18/2010 12:00:00 AM	11/23/2010 1:54 PM
Details	State	Insert			Active	11/23/2010 1:54 PM
Dates	Registration Date	Insert			11/17/2010 12:00:00 AM	11/23/2010 1:54 PM
Dates	Signed By Date	Insert			11/18/2010 12:00:00 AM	11/23/2010 1:54 PM
Dates	Start Date	Insert			1/1/2011 12:00:00 AM	11/23/2010 1:54 PM
Terminations	Termination Comments	Insert				11/23/2010 1:54 PM
Terminations	Termination Date	Insert				11/23/2010 1:54 PM
Terminations	Termination Effective Date	Insert				11/23/2010 1:54 PM
Terminations	Termination Reason	Insert				11/23/2010 1:54 PM