Pharmacy Details

GENOA HEALTHCARE LLC - information as of 5/25/2025 1:28:32 AM

Name
GENOA HEALTHCARE LLC

Address

333 E WASHINGTON STREET
STE 2100 ROOM 2107
WEST BEND, WI 53095

Comments

Contracts
History

Contracts

Contract Detail	340B ID	Entity Name	Sub Name	Entity Type	Address	Address Cont.	City	State	Begin Date	Term Date	Edit Date
Details	DSH520009	Ascension NE Wisconsin, Inc. d/b/a Ascension NE Wisconsin - St. Elizabeth Hospital Campus		Disproportionate Share Hospital	1506 S. Oneida St.		Appleton	WI	04/01/2024		4/1/2024 12:01 AM
Details	DSH520096	Ascension All Saints Hospital, Inc.		Disproportionate Share Hospital	3801 SPRING STREET		RACINE	WI	04/01/2024		4/1/2024 12:01 AM
Details	DSH520136	Ascension SE Wisconsin Hospital, Inc.	ST. JOSEPH CAMPUS	Disproportionate Share Hospital	5000 WEST CHAMBERS STREET		MILWAUKEE	WI	04/01/2024		4/1/2024 12:01 AM
Details	FQHC638544	Menominee Indian Tribe of Wisconsin	Menominee Tribal Clinic	Tribal Contract/Compact with IHS (P.L. 93-638)	W3275 WOLF RIVER ROAD		Keshena	WI	04/01/2023	02/28/2024	3/13/2024 10:34 AM

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Addresses	Pharmacy Address	Update		GENOA HEALTHCARE, LLC 333 E WASHINGTON STREET STE 2100 ROOM 2107 WEST BEND, WI 53095-2503	GENOA HEALTHCARE LLC 333 E WASHINGTON STREET STE 2100 ROOM 2107 WEST BEND, WI 53095	9/20/2022 11:31 AM
Details	Name	Update		GENOA HEALTHCARE, LLC	GENOA HEALTHCARE LLC	9/20/2022 11:31 AM
Addresses	Pharmacy Address	Insert			GENOA HEALTHCARE, LLC 333 E WASHINGTON STREET STE 2100 ROOM 2107 WEST BEND, WI 53095-2503	2/22/2018 2:07 PM
Details	Name	Update		GENOA A QOL HEALTHCARE COMPANY LLC	GENOA HEALTHCARE, LLC	2/22/2018 2:07 PM
Addresses	Pharmacy Address	Insert			GENOA A QOL HEALTHCARE COMPANY LLC 333 E WASHINGTON STREET STE 2100 ROOM 2107 WEST BEND, WI 53095-2503	9/29/2017 6:44 AM
Details	Comments	Insert				2/5/2016 2:36 PM
Details	Is Deleted	Insert			False	2/5/2016 2:36 PM
Addresses	Pharmacy Address	Insert			GENOA A QOL HEALTHCARE COMPANY LLC 333 E WASHINGTON STREET STE 2100 ROOM 2107 WEST BEND, WI 53095-2503	2/5/2016 2:36 PM
Details	Name	Insert			GENOA A QOL HEALTHCARE COMPANY LLC	2/5/2016 2:36 PM