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DSH520096 Ascension All Saints Hospital, Inc. (Active)
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Main Details
Name
Ascension All Saints Hospital, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520096
Medicare Provider Number
520096
Additional Details
Current Program Status
Active
Registration Date
8/31/2006
Participating Start Date
4/1/2004
Participating Approval Date
8/31/2006
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Ascension All Saints
Kristin Aileen McManmon, President & CEO
(262) 687-4886
Primary Contact
Ascension WI
Cescilly Smith-Jenkins, 340B Program Director – Wisconsin
(414) 522-7533
Addresses
Street Address
3801 SPRING STREET
RACINE, WI 53405
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/31/06 - NAME CHANGE - FORMERLY ALL SAINTS MEDICAL CENTER, INC., ST MARY'S/ST LUKE'S, UPDATED MEDICAID # (WAS 52-0096)
08/31/2006
April 2025
April 2025
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