340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH520045 THEDACARE REGIONAL MEDICAL CENTER - (Terminated)
Print
Main Details
Name
THEDACARE REGIONAL MEDICAL CENTER -
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520045
Medicare Provider Number
520045
Additional Details
Current Program Status
Terminated
Registration Date
7/3/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/31/2024
Last Recertification Date
Termination Date
Termination Reason
1/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
ThedaCare
B Lynn Detterman, SVP, South Region
(920) 454-6380
Primary Contact
ThedaCare
Stephanie Rhein, Director, Retail Pharmacy & 340B
(920) 454-1175
Addresses
Street Address
130 SECOND ST
NEENAH, WI 54956
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session