Covered Entity Details

CAH231333-00 ASPIRUS IRONWOOD HOSPITAL (Active) - information as of 5/20/2025 12:51:59 AM

Main Details

Name

ASPIRUS IRONWOOD HOSPITAL

Subdivision Name

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH231333-00

Medicare Provider Number

231333

Additional Details

Current Program Status

Active

Registration Date

12/1/2010

Participating Start Date

1/1/2011

Participating Approval Date

12/1/2010

Last Recertification Date

8/19/2024

Contacts

Authorizing Official

Aspirus, Inc.
Jerry Yang, SVP & Chief Financial Officer, Fiscal Services
(715) 847-2526

Primary Contact

Aspirus, Inc.
Stacy Kolz, 340B Pharmacy Program Supervisor
(715) 610-4236

Addresses

Street Address

N10561 GRAND VIEW LANE
IRONWOOD, MI 49938

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

ASPIRUS PHARMACY - IRONWOOD
N10565 GRANDVIEW LN
IRONWOOD, MI 49938

Shipping Address 2

ASPIRUS IRONWOOD HOSPITAL
N10561 GRANDVIEW LN
IRONWOOD, MI 49938-9622

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	ASPIRUS KEWEENAW	DBA ASPIRUS KEWEENAW PHARMACY	205 OSCEOLA ST	LAURIUM	MI	49913	10/14/2016	01/01/2017	02/29/2024	03/01/2024
Contract Detail	CYSTIC FIBROSIS SERVICES, LLC	DBA WALGREENS SPECIALTY PHARMACY #16280	10530 JOHN W ELLIOTT DR STE 200	FRISCO	TX	75033	01/14/2020	04/01/2020	04/21/2023	04/25/2023
Contract Detail	HEALTHY OPTIONS INC	DBA POSTAL PRESCRIPTION SVCS	3500 SE 26TH AVE PO BOX 2718	PORTLAND	OR	97202	01/13/2021	04/01/2021	04/14/2021	04/16/2021
Contract Detail	PRIME THERAPEUTICS SPECIALTY PHARMACY LL	ALLIANCERX WALGREENS PRIME #16568	2354 COMMERCE PARK DRIVE SUITE 100	ORLANDO	FL	32819-9992	01/14/2020	04/01/2020	10/06/2022	10/07/2022
Contract Detail	WAKEFIELD PHARMACY ENTERPRISES	408 SUNDAY LAKE ST	DBA WAKEFIELD PHARMACY	WAKEFIELD	MI	49968-1338	07/11/2019	10/01/2019	02/29/2024	03/01/2024
Contract Detail	WAL-MART CENTRAL FILL 10-2670	608 SPRING HILL DR # 3 SUITE 300		SPRING	TX	77386	07/15/2014	10/01/2014		07/15/2014
Contract Detail	WAL-MART PHARMACY 10-5444	10305 COUNTRY CLUB ROAD		IRONWOOD	MI	49938	08/29/2012	09/01/2012		03/28/2013
Contract Detail	WAL-MART PHARMACY 10-5997	9600 PARKSOUTH CT. SUITE 100		ORLANDO	FL	32837	07/15/2014	10/01/2014		07/15/2014
Contract Detail	WALGREEN CO	DBA: WALGREENS #11954	802 E CLOVERLAND DR	IRONWOOD	MI	49938-1502	04/18/2012	04/18/2012		03/28/2013
Contract Detail	WALGREEN CO.	DBA: WALGREENS #10758	110 LAKE SHORE DR. W	ASHLAND	WI	54806-1645	04/18/2012	04/18/2012	07/10/2023	07/10/2023
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15443	10530 JOHN W ELLIOTT DR STE 100	FRISCO	TX	75033	01/14/2020	04/01/2020	04/21/2023	04/25/2023
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #16287	130 ENTERPRISE DR	PITTSBURGH	PA	15275	01/14/2020	04/01/2020	04/21/2023	04/25/2023
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	ALLIANCERX WALGREENS PRIME #12314	9775 SW GEMINI DR, STE 1	BEAVERTON	OR	97008	01/14/2020	04/01/2020	10/01/2021	10/20/2021
Contract Detail	WALGREENS SPECIALTY PHARMACY, LLC	DBA WALGREENS SPECIALTY PHARMACY #15438	41460 HAGGERTY CIR S	CANTON	MI	48188	01/14/2020	04/01/2020	04/21/2023	04/25/2023
Contract Detail	WHITE CROSS PHARMACY INC	314 SILVER ST		HURLEY	WI	54534-1254	08/29/2012	08/29/2012		03/28/2013

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAH231333-01	Child	CAH	ASPIRUS IRONWOOD HOSPITAL	ASPIRUS EYE CENTER - IRONWOOD	E6112 Bluff View Road	Ironwood	MI	Active
CAH231333-02	Child	CAH	ASPIRUS IRONWOOD HOSPITAL	Aspirus Ironwood Clinic	N10565 Grand View Lane	Ironwood	MI	Active
CAH231333-03	Child	CAH	ASPIRUS IRONWOOD HOSPITAL	Aspirus Ironwood Surgical and Wound Clinic	N10565 Grand View Lane	Ironwood	MI	Active
CAH231333-04	Child	CAH	ASPIRUS IRONWOOD HOSPITAL	Aspirus Hurley Clinic	501 Granite St	Hurley	WI	Active
CAH231333-05	Child	CAH	ASPIRUS IRONWOOD HOSPITAL	ASPIRUS IRONWOOD CLINIC - ORTHOPEDICS	N10565 Grand View Lane	Ironwood	MI	Active
CAH231333-06	Child	CAH	ASPIRUS IRONWOOD HOSPITAL	Aspirus Ironwood Infusion Center - Infusion Center	N10565 Grand View Lane	Ironwood	MI	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Change Request	TINCHER, PAT Vice President-Finance, Regional Markets Aspirus, Inc 7158472425	Yang, Jerry SVP & Chief Financial Officer, Fiscal Services Aspirus, Inc. 7158472526	1/6/2025 7:14 AM
Details	Last Recertification Date	Update	Recertification	8/24/2023 8:32:30 AM	8/19/2024 12:19:54 PM	8/19/2024 12:19 PM
Addresses	Shipping Address	Insert	Change Request		ASPIRUS PHARMACY - IRONWOOD N10565 GRANDVIEW LN IRONWOOD, MI 49938	11/7/2023 9:00 AM
Addresses	Shipping Address	Insert	Change Request		ASPIRUS IRONWOOD HOSPITAL N10561 GRANDVIEW LN IRONWOOD, MI 49938-9622	11/7/2023 9:00 AM
Details	Last Recertification Date	Update	Recertification	9/8/2022 7:40:03 AM	8/24/2023 8:32:30 AM	8/24/2023 8:32 AM
Addresses	Main Address	Update	Recertification	N 10561 GRAND VIEW LANE IRONWOOD, MI 49938	N10561 GRAND VIEW LANE IRONWOOD, MI 49938	9/8/2022 7:40 AM
Details	Last Recertification Date	Update	Recertification	8/20/2021 6:38:42 AM	9/8/2022 7:40:03 AM	9/8/2022 7:40 AM
Contacts	Primary Contact	Update	Profile Change Request	Kolz, Stacy System 340B Coordinator Aspirus, Inc. 7156104236	Kolz, Stacy 340B Pharmacy Program Supervisor Aspirus, Inc. 7156104236	1/28/2022 1:07 PM
Details	Last Recertification Date	Update	Recertification	9/10/2020 8:44:59 AM	8/20/2021 6:38:42 AM	8/20/2021 6:38 AM
Details	Entity Name	Update	Recertification	Aspirus Ironwood Hospital	ASPIRUS IRONWOOD HOSPITAL	8/20/2021 6:38 AM
Contacts	Primary Contact	Update	Recertification	Madison, Casey Pharmacy Manager Aspirus Ironwood 9069326219	Kolz, Stacy System 340B Coordinator Aspirus, Inc. 7156104236	9/10/2020 8:44 AM
Details	Last Recertification Date	Update	Recertification	9/10/2019 10:05:46 AM	9/10/2020 8:44:59 AM	9/10/2020 8:44 AM
Contacts	Authorizing Official	Update	Profile Change Request	TINCHER, PAT CFO Aspirus Langlade Hospital 7156239215	TINCHER, PAT Vice President-Finance, Regional Markets Aspirus, Inc 7158472425	8/20/2020 9:30 AM
Contacts	Authorizing Official	Update	Change Request	Chermside, Paula CEO Aspirus Ironwood 9069322525	TINCHER, PAT CFO Aspirus Langlade Hospital 7156239215	3/6/2020 8:32 AM
Details	Last Recertification Date	Update	Recertification	8/15/2018 11:24:16 AM	9/10/2019 10:05:46 AM	9/10/2019 10:05 AM
Contacts	Primary Contact	Update	Change Request	Templer, Amanda Pharmacy Manager Aspirus Ironwood Hospital 9069322525	Madison, Casey Pharmacy Manager Aspirus Ironwood 9069326219	3/25/2019 8:27 AM
Details	Last Recertification Date	Update	Recertification	11/15/2017 12:58:41 PM	8/15/2018 11:24:16 AM	8/15/2018 11:24 AM
Contacts	Authorizing Official	Update	Profile Change Request	Chermside, Paula COO Aspirus Ironwood 9069322525-6013	Chermside, Paula CEO Aspirus Ironwood 9069322525	4/11/2018 3:12 PM
Contacts	Primary Contact	Update	Profile Change Request	Templer, Amanda Pharmacy Manager Aspirus Ironwood Hospital 9069322525-6219	Templer, Amanda Pharmacy Manager Aspirus Ironwood Hospital 9069322525	4/9/2018 4:05 PM
Details	Last Recertification Date	Update	Recertification	8/22/2016 12:00:00 AM	11/15/2017 12:58:41 PM	11/15/2017 12:58 PM
Contacts	Authorizing Official	Update		Chermside, Paula COO 9069322525-6013	Chermside, Paula COO Aspirus Ironwood 9069322525-6013	11/15/2017 12:44 PM
Contacts	Primary Contact	Update		Templer, Amanda Pharmacy Manager 9069322525-6219	Templer, Amanda Pharmacy Manager Aspirus Ironwood Hospital 9069322525-6219	10/27/2017 2:14 PM
Contacts	Primary Contact	Update		Templer, Amanda Pharmacy Manager 9069322525-6219	Templer, Amanda Pharmacy Manager 9069322525-6219	2/15/2017 1:44 PM
Contacts	Authorizing Official	Update		Chermside, Paula COO 9069322525-6013	Chermside, Paula COO 9069322525-6013	2/15/2017 1:44 PM
Addresses	Main Address	Insert			N 10561 GRAND VIEW LANE IRONWOOD, MI 49938	10/24/2016 7:24 AM
Details	Entity Name	Update		ASPIRUS GRAND VIEW HOSPITAL	Aspirus Ironwood Hospital	10/24/2016 7:24 AM
Details	Last Recertification Date	Update		8/11/2015 12:00:00 AM	8/22/2016 12:00:00 AM	8/22/2016 7:17 AM
Contacts	Primary Contact	Update		TEMPLER, AMANDA DIRECTOR OF PHARMACY 9069326219	Templer, Amanda Pharmacy Manager 9069322525-6219	8/11/2015 12:11 PM
Contacts	Authorizing Official	Insert			Chermside, Paula COO 9069322525-6013	8/11/2015 12:11 PM
Details	Last Recertification Date	Update		9/9/2014 12:00:00 AM	8/11/2015 12:00:00 AM	8/11/2015 12:10 PM
Contacts	Primary Contact	Update		GRUENKE, JANE DIRECTOR OF PHARMACY 9069326219	TEMPLER, AMANDA DIRECTOR OF PHARMACY 9069326219	9/9/2014 5:23 PM
Details	Last Recertification Date	Update		9/9/2013 1:19:22 PM	9/9/2014 12:00:00 AM	9/9/2014 5:23 PM
Details	Last Recertification Date	Update		7/1/2012 12:00:00 AM	9/9/2013 1:19:22 PM	9/9/2013 1:19 PM
Contacts	Primary Contact	Update		GRUENKE, JANE DIRECTOR OF PHARMACY 9069326219	GRUENKE, JANE DIRECTOR OF PHARMACY 9069326219	6/1/2012 10:04 AM
Details	Last Recertification Date	Update			7/1/2012 12:00:00 AM	6/1/2012 10:04 AM
Contacts	Primary Contact	Insert			GRUENKE, JANE DIRECTOR OF PHARMACY 9069326219	12/1/2010 1:41 PM
Details	Last Recertification Date	Insert				12/1/2010 1:41 PM
Details	Grant Number	Insert				12/1/2010 1:41 PM
Details	340B ID	Insert			CAH231333-00	12/1/2010 1:41 PM
Details	Is Authorizing Official EHB Data	Insert				12/1/2010 1:41 PM
Dates	Last Date That 340B Drugs Purchased	Insert				12/1/2010 1:41 PM
Details	Medicare Provider Number	Insert			231333	12/1/2010 1:41 PM
Details	Entity Name	Insert			ASPIRUS GRAND VIEW HOSPITAL	12/1/2010 1:41 PM
Details	Program Code	Insert			CAH	12/1/2010 1:41 PM
Details	Entity Subname	Insert				12/1/2010 1:41 PM
Dates	Participating Approval Date	Insert			12/1/2010 12:00:00 AM	12/1/2010 1:41 PM
Details	State	Insert			Active	12/1/2010 1:41 PM
Dates	Registration Date	Insert			12/1/2010 12:00:00 AM	12/1/2010 1:41 PM
Dates	Signed By Date	Insert			11/29/2010 12:00:00 AM	12/1/2010 1:41 PM
Dates	Start Date	Insert			1/1/2011 12:00:00 AM	12/1/2010 1:41 PM
Terminations	Termination Comments	Insert				12/1/2010 1:41 PM
Terminations	Termination Date	Insert				12/1/2010 1:41 PM
Terminations	Termination Effective Date	Insert				12/1/2010 1:41 PM
Terminations	Termination Reason	Insert				12/1/2010 1:41 PM