340B Drug Pricing Program Database
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CAH521311-00 ASPIRUS STANLEY HOSPITAL & CLINICS, INC. (Active)
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Main Details
Name
ASPIRUS STANLEY HOSPITAL & CLINICS, INC.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521311-00
Medicare Provider Number
521311
Additional Details
Current Program Status
Active
Registration Date
11/5/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/7/2010
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Aspirus, Inc.
Jerry Yang, SVP & Chief Financial Officer, Fiscal Services
(715) 847-2526
Primary Contact
Aspirus, Inc.
Stacy Kolz, 340B Pharmacy Program Supervisor
(715) 610-4236
Addresses
Street Address
1120 PINE STREET
STANLEY, WI 54768
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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