Covered Entity Details

CH05084AJ Family Health Center Of Marshfield, Inc. (Active) - information as of 5/9/2025 10:44:53 PM

Main Details

Name

Family Health Center Of Marshfield, Inc.

Subdivision Name

Family Health Center - Marshfield Alcohol and Drug Recovery Center

Type

HRSA-Funded Health Center

Site ID

BPS-H80-036147

340B ID

CH05084AJ

Grant Number

H80CS00792

Additional Details

Current Program Status

Active

Registration Date

8/6/2018

Participating Start Date

10/1/2018

Participating Approval Date

8/7/2018

Last Recertification Date

2/10/2025

Contacts

Authorizing Official

Family Health Center of Marshfield, Inc
Greg Nycz, Chief Executive Officer
(800) 942-5420

Primary Contact

Family Health Center of Marshfield, Inc
Xin Ruppel, Director of Pharmacy Services
(800) 942-5420

Addresses

Street Address

630 South Central Avenue
Suite 700
Marshfield, WI 54449

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	Address Cont.	City	State
CH050840	Terminated	BPS-H80-004124	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-MARSHFIELD CENTER	1000 N Oak Ave		Marshfield	WI
CH05084A	Terminated	BPS-H80-014184	FAMILY HEALTH CENTER OF MARSHFIELD INC	Family Health Center/Marshfield Clinic - Riverview Center	1000 STARR AVE		EAU CLAIRE	WI
CH05084AA	Active	BPS-H80-011827	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER-RHINELANDER DENTAL CENTER	2268 N Shore Dr		Rhinelander	WI
CH05084AB	Active	BPS-H80-011373	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER - BLACK RIVER FALLS DENTAL CENTER	N6571 Lumberjack Guy Rd		Black River Falls	WI
CH05084AC	Active	BPS-H80-009091	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER-MEDFORD DENTAL CENTER	843 W Broadway Ave		Medford	WI
CH05084AD	Active	BPS-H80-008930	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER-MARSHFIELD DENTAL CENTER	1307 N Saint Joseph Ave		Marshfield	WI
CH05084AE	Active	BPS-H80-008603	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER-NEILLSVILLE DENTAL CENTER	8 Boon Blvd		Neillsville	WI
CH05084AF	Active	BPS-H80-008681	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER-RICE LAKE DENTAL CENTER	1501 W Stout St		Rice Lake	WI
CH05084AG	Active	BPS-H80-018124	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER - MENOMONIE DENTAL CENTER	404 Red Cedar Street		Menomonie	WI
CH05084AH	Active	BPS-H80-018581	FAMILY HEALTH CENTER OF MARSHFIELD INC	Family Health Center - Minocqua Alcohol & Drug Recovery Center	9792 State Highway 70		Minocqua	WI
CH05084AJ	Active	BPS-H80-036147	Family Health Center Of Marshfield, Inc.	Family Health Center - Marshfield Alcohol and Drug Recovery Center	630 South Central Avenue	Suite 700	Marshfield	WI
CH05084AK	Active	BPS-H80-033701	Family Health Center Of Marshfield, Inc.	Family Health Center – Ladysmith Alcohol and Drug Recovery Center	200 W 5th St S		Ladysmith	WI
CH05084AL	Active	BPS-H80-037088	FAMILY HEALTH CENTER OF MARSHFIELD, INC.	Family Health Center - Marshfield Primary Care Center	630 South Central Avenue STE 600B		Marshfield	WI
CH05084C	Terminated	BPS-H80-014183	FAMILY HEALTH CENTER OF MARSHFIELD INC	Family Health Center/Marshfield Clinic - Oakwood Center	3501 GOLF RD		EAU CLAIRE	WI
CH05084D	Terminated	BPS-H80-014181	FAMILY HEALTH CENTER OF MARSHFIELD INC	Family Health Center/Marshfield Clinic - Menomonie Center	3603 Schneider Avenue		Menomonie	WI
CH05084E	Terminated	BPS-H80-014179	FAMILY HEALTH CENTER OF MARSHFIELD INC	Family Health Center/Marshfield Clinic - Eau Claire Center	2116 CRAIG RD		EAU CLAIRE	WI
CH05084F	Terminated	BPS-H80-011798	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-EAGLE RIVER CENTER	500 Commerce Loop		Eagle River	WI
CH05084G	Terminated	BPS-H80-009140	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-MINOCQUA CENTER	9601 Townline Rd		Minocqua	WI
CH05084H	Terminated	BPS-H80-009063	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-LAKEWOODS CENTER	1215 W Knapp St		Rice Lake	WI
CH05084J	Terminated	BPS-H80-009034	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-RICE LAKE CENTER	1700 W Stout St		Rice Lake	WI
CH05084K	Terminated	BPS-H80-008121	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-BLOOMER CENTER	1711 York St		Bloomer	WI
CH05084L	Terminated	BPS-H80-008094	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-LAKE HALLIE CENTER	12961 27th Avenue		Chippewa Falls	WI
CH05084M	Terminated	BPS-H80-004417	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-CORNELL CENTER	600 Woodside Dr		Cornell	WI
CH05084N	Terminated	BPS-H80-003947	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-CADOTT CENTER	305 S Highway 27		Cadott	WI
CH05084P	Terminated	BPS-H80-003923	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-PHILLIPS CENTER	104 Trinity Dr		Phillips	WI
CH05084Q	Active	BPS-H80-002933	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER-CHIPPEWA FALLS DENTAL CENTER	850 Lakeland Dr		Chippewa Falls	WI
CH05084R	Terminated	BPS-H80-002159	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-CHIPPEWA FALLS CENTER	2655 County Highway I		Chippewa Falls	WI
CH05084S	Terminated	BPS-H80-002029	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-GREENWOOD CENTER	102 Cannery St		Greenwood	WI
CH05084T	Active	BPS-H80-002023	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER-PARK FALLS DENTAL CENTER	75 Sherry Ave		Park Falls	WI
CH05084U	Active	BPS-H80-001693	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER-LADYSMITH DENTAL CENTER	315 Miner Ave W		Ladysmith	WI
CH05084V	Terminated	BPS-H80-001578	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-MOSINEE CENTER	390 Orbiting Dr		Mosinee	WI
CH05084W	Terminated	BPS-H80-001336	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-PARK FALLS CENTER	50 Sherry Ave		Park Falls	WI
CH05084X	Terminated	BPS-H80-001315	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-STRATFORD CENTER	212800 Stainless Ave		Stratford	WI
CH05084Y	Terminated	BPS-H80-000488	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC - LADYSMITH CENTER	906 College Ave W		Ladysmith	WI
CH05084Z	Terminated	BPS-H80-000278	FAMILY HEALTH CENTER OF MARSHFIELD INC	FAMILY HEALTH CENTER/MARSHFIELD CLINIC-COLBY/ABBOTSFORD CENTER	111 Dehne Dr		Colby	WI

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Carve-In Effective Date	Termination Date
No records to display.

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	1/29/2024 10:14:38 AM	2/10/2025 10:12:19 AM	2/10/2025 10:12 AM
Details	Last Recertification Date	Update	Recertification	1/30/2023 9:49:33 AM	1/29/2024 10:14:38 AM	1/29/2024 10:14 AM
Contacts	Primary Contact	Update	Change Request	Ruppel, Xin W. Pharmacy Manager Family Health Center of Marshfield, Inc. 7152218754	Ruppel, Xin Director of Pharmacy Services Family Health Center of Marshfield, Inc 8009425420	1/2/2024 10:16 AM
Contacts	Authorizing Official	Update	Change Request	Nycz, Greg Chief Executive Officer Family Health Center of Marshfield, Inc. 7153879137	Nycz, Greg Chief Executive Officer Family Health Center of Marshfield, Inc 8009425420	1/2/2024 10:16 AM
Contacts	Authorizing Official	Update	Profile Change Request	Nycz, Greg Executive Director Family Health Center of Marshfield, Inc. 7153879137	Nycz, Greg Chief Executive Officer Family Health Center of Marshfield, Inc. 7153879137	1/2/2024 8:42 AM
Contacts	Signed By	Update	Profile Change Request	Nycz, Greg Executive Director Family Health Center of Marshfield, Inc. 7153879137	Nycz, Greg Chief Executive Officer Family Health Center of Marshfield, Inc. 7153879137	1/2/2024 8:42 AM
Addresses	Main Address	Update	Change Request	630 South Central Avenue Suite 600A Marshfield, WI 54449	630 South Central Avenue Suite 700 Marshfield, WI 54449	1/30/2023 1:56 PM
Details	Last Recertification Date	Update	Recertification	2/1/2022 9:37:36 AM	1/30/2023 9:49:33 AM	1/30/2023 9:49 AM
Addresses	Main Address	Update	Change Request	214 W 2nd St Marshfield, WI 54449	630 South Central Avenue Suite 600A Marshfield, WI 54449	4/14/2022 8:26 AM
Details	Last Recertification Date	Update	Recertification	2/8/2021 10:11:46 AM	2/1/2022 9:37:36 AM	2/1/2022 9:37 AM
Addresses	Main Address	Update	Recertification	214 West Second Street Marshfield, WI 54449-2719	214 W 2nd St Marshfield, WI 54449	2/8/2021 10:11 AM
Details	Last Recertification Date	Update	Recertification	1/29/2020 9:13:41 AM	2/8/2021 10:11:46 AM	2/8/2021 10:11 AM
Details	Last Recertification Date	Update	Recertification	2/1/2019 9:28:35 AM	1/29/2020 9:13:41 AM	1/29/2020 9:13 AM
Details	Last Recertification Date	Update	Recertification		2/1/2019 9:28:35 AM	2/1/2019 9:28 AM
Details	State	Update		Approved	Active	10/1/2018 12:05 AM
Contacts	Signed By	Insert	New Registration		Nycz, Greg Executive Director Family Health Center of Marshfield, Inc. 7153879137	8/7/2018 9:27 AM
Details	340B ID	Update	New Registration		CH05084AJ	8/7/2018 9:27 AM
Dates	Participating Approval Date	Update	New Registration		8/7/2018 9:27:16 AM	8/7/2018 9:27 AM
Details	State	Update	New Registration	Pending	Approved	8/7/2018 9:27 AM
Dates	Signed By Date	Update	New Registration		8/6/2018 2:44:01 PM	8/7/2018 9:27 AM
Dates	Start Date	Update	New Registration		10/1/2018 12:00:00 AM	8/7/2018 9:27 AM
Addresses	Main Address	Insert	New Registration		214 West Second Street Marshfield, WI 54449-2719	8/6/2018 2:43 PM
Contacts	Authorizing Official	Insert	New Registration		Nycz, Greg Executive Director Family Health Center of Marshfield, Inc. 7153879137	8/6/2018 2:43 PM
Contacts	Primary Contact	Insert	New Registration		Ruppel, Xin W. Pharmacy Manager Family Health Center of Marshfield, Inc. 7152218754	8/6/2018 2:43 PM
Details	Last Recertification Date	Insert	New Registration			8/6/2018 2:43 PM
Details	Grant Number	Insert	New Registration		H80CS00792	8/6/2018 2:43 PM
Details	340B ID	Insert	New Registration			8/6/2018 2:43 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			8/6/2018 2:43 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			8/6/2018 2:43 PM
Details	Medicare Provider Number	Insert	New Registration			8/6/2018 2:43 PM
Details	Entity Name	Insert	New Registration		Family Health Center Of Marshfield, Inc.	8/6/2018 2:43 PM
Details	Program Code	Insert	New Registration		CH	8/6/2018 2:43 PM
Details	Entity Subname	Insert	New Registration		Family Health Center - Marshfield Alcohol and Drug Recovery Center	8/6/2018 2:43 PM
Dates	Participating Approval Date	Insert	New Registration			8/6/2018 2:43 PM
Details	State	Insert	New Registration		Pending	8/6/2018 2:43 PM
Dates	Registration Date	Insert	New Registration		8/6/2018 2:43:59 PM	8/6/2018 2:43 PM
Dates	Signed By Date	Insert	New Registration			8/6/2018 2:43 PM
Dates	Start Date	Insert	New Registration			8/6/2018 2:43 PM
Terminations	Termination Comments	Insert	New Registration			8/6/2018 2:43 PM
Terminations	Termination Date	Insert	New Registration			8/6/2018 2:43 PM
Terminations	Termination Effective Date	Insert	New Registration			8/6/2018 2:43 PM
Terminations	Termination Reason	Insert	New Registration			8/6/2018 2:43 PM

340B Drug Pricing Program Database