Covered Entity Details

DSH520019N ASPIRUS RHINELANDER HOSPITAL (Terminated) - information as of 6/27/2025 12:34:15 AM

Main Details

Name

ASPIRUS RHINELANDER HOSPITAL

Subdivision Name

ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - FAMILY PRACTICE

Type

Disproportionate Share Hospital

Rural

Yes

340B ID

DSH520019N

Medicare Provider Number

520019

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

7/1/2023

Participating Start Date

10/1/2023

Participating Approval Date

8/29/2023

Last Recertification Date

Termination Date
Termination Reason

10/1/2024
Change of covered entity type

Contacts

Authorizing Official

Aspirus, Inc
PAT TINCHER, Vice President-Finance, Regional Markets
(715) 847-2425

Primary Contact

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

Addresses

Street Address

824 ILLINOIS VE
STEVENS POINT, WI 54481

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

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.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH520019A	Child	DSH	ASCENSION SAINT MARYS HOSPITAL	ASPIRUS RHINELANDER & TOMAHA - Family Practice	1660 SUE ALAN DR	WITTENBERG	WI	Terminated
DSH520019AA	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - OPHTHALMOLOGY	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019AB	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - OB/GYN	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019AC	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS PLOVER CLINIC - VERN HOLMES DRIVE - WALK IN	5409 VERN HOLMES DRIVE	STEVENS POINT	WI	Active
DSH520019AD	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS RHINELANDER CLINIC - N CHIPPEWA DRIVE - WALK-IN	1630 N CHIPPEWA DRIVE	RHINELANDER	WI	Active
DSH520019AE	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - ALLERGY	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019AF	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - DERMATOLOGY	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019AG	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - DIABETIC	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019AH	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - ENT	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019AJ	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS RHINELANDER HOSPITAL - RADIATION ONCOLOGY	2251 NORTH SHORE DRIVE	RHINELANDER	WI	Active
DSH520019AK	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS RHINELANDER HOSPITAL - MEDICAL ONCOLOGY	2251 NORTH SHORE DRIVE	RHINELANDER	WI	Active
DSH520019AL	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS WOODRUFF CLINIC - MAPLE STREET - OB/GYN	240 MAPLE STREET	WOODRUFF	WI	Active
DSH520019AM	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS WOODRUFF CLINIC - MAPLE STREET - PODIATRY	240 MAPLE STREET	WOODRUFF	WI	Active
DSH520019AN	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - GENERAL SURGERY	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019AP	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - GI	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019AQ	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - NEUROLOGY	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019B	Child	DSH	ASCENSION SAINT MARYS HOSPITAL	ASPIRUS RHINELANDER HOSPITAL - Family Practice	930 E WALL ST	EAGLE RIVER	WI	Terminated
DSH520019C	Child	DSH	ASCENSION SAINT MARYS HOSPITAL	ASPIRUS RHINELANDER HOSPITAL - Family Practice	2401 PLOVER RD	PLOVER	WI	Terminated
DSH520019D	Child	DSH	ASCENSION SAINT MARYS HOSPITAL	ASPIRUS RHINELANDER HOSPITAL - Family Practice	272 CHRISTY ST	AMHERST	WI	Terminated
DSH520019E	Child	DSH	ASCENSION SAINT MARYS HOSPITAL	ASPIRUS RHINELANDER & TOMAHA - Family Practice	205 S MAIN ST	IOLA	WI	Terminated
DSH520019F	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS EAGLE RIVER CLINIC - FAMILY PRACTICE	930 EAST WALL ST.	EAGLE RIVER	WI	Active
DSH520019G	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS CRANDON CLINIC - FAMILY PRACTICE	400 W GLEN STREET	CRANDON	WI	Active
DSH520019H	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS KOLLER BEHAVIORAL HEALTH CLINIC - BEHAVIORAL HEALTH CLINIC	1630 N CHIPPEWA DRIVE	RHINELANDER	WI	Active
DSH520019J	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS WOODRUFF CLINIC - MAPLE STREET - FAMILY PRACTICE	240 MAPLE STREET	WOODRUFF	WI	Active
DSH520019K	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS AMHERST CLINIC - FAMILY PRACTICE	272 CHRISTY STREET	AMHERST	WI	Active
DSH520019L	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS IOLA CLINIC - FAMILY PRACTICE	205 S MAIN STREET	IOLA	WI	Active
DSH520019M	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS PLOVER CLINIC- VERN HOLMES DRIVE - FAMILY PRACTICE	5409 VERN HOLMES DRIVE	STEVENS POINT	WI	Active
DSH520019N	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - FAMILY PRACTICE	824 ILLINOIS VE	STEVENS POINT	WI	Terminated
DSH520019P	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - HOOVER ROAD - FAMILY PRACTICE	3500 HOOVER RD	STEVENS POINT	WI	Active
DSH520019Q	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS PLOVE CLINIC - PLOVER ROAD - FAMILY PRACTICE	2401 PLOVER ROAD	PLOVER	WI	Active
DSH520019R	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS RHINELANDER CLINIC - N SHORE DRIVE - FAMILY PRACTICE	2251 NORTH SHORE DR.	RHINELANDER	WI	Active
DSH520019S	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS RHINELANDER CLINIC - N CHIPPEWA DRIVE - FAMILY PRACTICE	1630 N CHIPPEWA DRIVE	RHINELANDER	WI	Active
DSH520019T	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS WITTENBERG CLINIC - FAMILY PRACTICE	1660 SUE ALAN DRIVE	WITTENBERG	WI	Active
DSH520019U	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS TOMAHAWK CLINIC - FAMILY PRACTICE	401 W MOHAWK DR	TOMAHAWK	WI	Active
DSH520019V	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - WOUND	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019W	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - UROLOGY	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019X	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - PODIATRY	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019Y	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - PEDIATRICS	824 ILLINOIS AVE	STEVENS POINT	WI	Active
DSH520019Z	Child	DSH	ASPIRUS RHINELANDER HOSPITAL	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - PEDIATRIC ENDO	824 ILLINOIS AVE	STEVENS POINT	WI	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	10/1/2024 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Hospital Type Change Request		10/1/2024 12:00:00 AM	7/23/2024 8:50 AM
Details	State	Update	Hospital Type Change Request	Active	To Be Terminated	7/23/2024 8:50 AM
Terminations	Termination Date	Update	Hospital Type Change Request		10/1/2024 12:00:00 AM	7/23/2024 8:50 AM
Terminations	Termination Effective Date	Update	Hospital Type Change Request		10/1/2024 12:00:00 AM	7/23/2024 8:50 AM
Terminations	Termination Reason	Update	Hospital Type Change Request		Change of covered entity type	7/23/2024 8:50 AM
Details	State	Update		Approved	Active	10/1/2023 12:01 AM
Contacts	Signed By	Insert	New Registration		TINCHER, PAT Vice President-Finance, Regional Markets Aspirus, Inc 7158472425	8/29/2023 9:39 AM
Details	340B ID	Update	New Registration		DSH520019N	8/29/2023 9:39 AM
Details	Entity Subname	Update	New Registration	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE	ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - FAMILY PRACTICE	8/29/2023 9:39 AM
Dates	Participating Approval Date	Update	New Registration		8/29/2023 9:39:18 AM	8/29/2023 9:39 AM
Details	State	Update	New Registration	Pending	Approved	8/29/2023 9:39 AM
Dates	Signed By Date	Update	New Registration		7/5/2023 8:01:57 AM	8/29/2023 9:39 AM
Dates	Start Date	Update	New Registration		10/1/2023 12:00:00 AM	8/29/2023 9:39 AM
Addresses	Main Address	Insert	New Registration		824 ILLINOIS VE STEVENS POINT, WI 54481	7/1/2023 8:38 AM
Contacts	Authorizing Official	Insert	New Registration		TINCHER, PAT Vice President-Finance, Regional Markets Aspirus, Inc 7158472425	7/1/2023 8:38 AM
Contacts	Primary Contact	Insert	New Registration		Kolz, Stacy 340B Pharmacy Program Supervisor Aspirus, Inc. 7156104236	7/1/2023 8:38 AM
Details	Assistance Received From Date	Insert	New Registration			7/1/2023 8:38 AM
Details	Assistance Received To Date	Insert	New Registration			7/1/2023 8:38 AM
Details	Last Recertification Date	Insert	New Registration			7/1/2023 8:38 AM
Details	Grant Number	Insert	New Registration			7/1/2023 8:38 AM
Details	340B ID	Insert	New Registration			7/1/2023 8:38 AM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/1/2023 8:38 AM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/1/2023 8:38 AM
Details	Medicare Provider Number	Insert	New Registration		520019	7/1/2023 8:38 AM
Details	Entity Name	Insert	New Registration		ASPIRUS RHINELANDER HOSPITAL	7/1/2023 8:38 AM
Details	NOFO Number	Insert	New Registration			7/1/2023 8:38 AM
Details	Program Code	Insert	New Registration		DSH	7/1/2023 8:38 AM
Details	Entity Subname	Insert	New Registration		ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE	7/1/2023 8:38 AM
Dates	Participating Approval Date	Insert	New Registration			7/1/2023 8:38 AM
Details	State	Insert	New Registration		Pending	7/1/2023 8:38 AM
Dates	Registration Date	Insert	New Registration		7/1/2023 8:38:53 AM	7/1/2023 8:38 AM
Dates	Signed By Date	Insert	New Registration			7/1/2023 8:38 AM
Dates	Start Date	Insert	New Registration			7/1/2023 8:38 AM
Terminations	Termination Comments	Insert	New Registration			7/1/2023 8:38 AM
Terminations	Termination Date	Insert	New Registration			7/1/2023 8:38 AM
Terminations	Termination Effective Date	Insert	New Registration			7/1/2023 8:38 AM
Terminations	Termination Reason	Insert	New Registration			7/1/2023 8:38 AM