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CAH521318-00 LADD MEMORIAL HOSPITAL DBA OSCEOLA MEDICAL CENTER (Active)
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Main Details
Name
LADD MEMORIAL HOSPITAL DBA OSCEOLA MEDICAL CENTER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521318-00
Medicare Provider Number
521318
Additional Details
Current Program Status
Active
Registration Date
11/5/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/8/2010
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Osceola Medical Center
Kelly Macken-Marble, Chief Executive Officer
(715) 294-5622
Primary Contact
Osceola Medical Center
Laynet Mekonnen, 340B Analyst
(715) 294-1925
Addresses
Street Address
2600 65TH AVE
OSCEOLA, WI 54020
Billing Address
LADD MEMORIAL HOSPITAL DBA OSCEOLA MEDICAL CENTER
P.O. BOX 218
OSCEOLA, WI 54020
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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