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DSH520136 Ascension SE Wisconsin Hospital, Inc. (Active)
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Main Details
Name
Ascension SE Wisconsin Hospital, Inc.
Subdivision Name
ST. JOSEPH CAMPUS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520136
Medicare Provider Number
520136
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
8/27/2024
Contacts
Authorizing Official
Ascension Elmbrook Memorial Hospital
Kurt Ronald Schley, President
(262) 785-2239
Primary Contact
Ascension WI
Cescilly Smith-Jenkins, 340B Program Director – Wisconsin
(414) 522-7533
Addresses
Street Address
5000 WEST CHAMBERS STREET
MILWAUKEE, WI 53210
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/22/09 UPDATED ENTITY NAME, SUBDIVISION NAME (WAS WHEATON FRANCISCAN HEALTHCARE-ST. JOSEPH); 8/31/06 - NAME CHANGE (FORMERLY ST. JOSEPHS REGIONAL MEDICAL CENTER), UPDATED MEDICAID # (WAS 33270900)
08/31/2006
April 2025
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