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DSH520098DE UNIVERSITY OF WI HOSPITALS & CLINICS (Active)
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Main Details
Name
UNIVERSITY OF WI HOSPITALS & CLINICS
Subdivision Name
EASTPARK MEDICAL CENTER UW HEALTH - IMAGING - CT
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520098DE
Medicare Provider Number
520098
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/5/2025
Last Recertification Date
Contacts
Authorizing Official
UW Health
Robert W Flannery, Senior VP/Chief Financial Officer
(608) 265-7131
Primary Contact
UW Health
Dan Schenkat, Director of Pharmacy - Business Services and East Madison Hospital
(608) 203-4897
Addresses
Street Address
4621 EASTPARK BLVD
MADISON, WI 53718-2000
Billing Address
UW Health - Accounts Payable
PO Box 5448
Madison, WI 53705
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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