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SCH520019-18 ASPIRUS RHINELANDER HOSPITAL (Terminated)
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Main Details
Name
ASPIRUS RHINELANDER HOSPITAL
Subdivision Name
ASPIRUS WOODRUFF CLINIC - MAPLE STR - OB
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH520019-18
Medicare Provider Number
520019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/31/2024
Last Recertification Date
Termination Date
Termination Reason
4/1/2025
Change of covered entity type
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
240 MAPLE ST
WOODRUFF, WI 54568-9190
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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