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DSH520019AA ASPIRUS RHINELANDER HOSPITAL (Active)
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Main Details
Name
ASPIRUS RHINELANDER HOSPITAL
Subdivision Name
ASPIRUS STEVENS POINT CLINIC - ILLINOIS AVE - OPHTHALMOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520019AA
Medicare Provider Number
520019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/1/2025
Participating Start Date
4/1/2025
Participating Approval Date
3/4/2025
Last Recertification Date
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
824 ILLINOIS AVE
STEVENS POINT, WI 54481
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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