340B Drug Pricing Program Database
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DSH520138E AURORA HEALTH CARE METRO, INC. (Active)
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Main Details
Name
AURORA HEALTH CARE METRO, INC.
Subdivision Name
AURORA HEALTH CARE METRO INC.-PHYSIATRY CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520138E
Medicare Provider Number
520138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/15/2010
Participating Start Date
10/1/2010
Participating Approval Date
9/15/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Advocate Aurora Health Care
Nan Nelson, SVP-Finance
(414) 378-4765
Primary Contact
Advocate Aurora Health
Jason G Nowak, Director, Pharmacy 340B Program
(414) 640-8457
Addresses
Street Address
2901 W Kinnickinnic Parkway Suite 101
MILWAUKEE, WI 53215
Billing Address
Aurora St. Luke's Medical Center
2900 W. Oklahoma Ave
Milwaukee, WI 53215
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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9/24/10 DOC. RECVD TO CONFIRM ELIG DSH %
09/15/2010
April 2025
April 2025
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