340B Drug Pricing Program Database
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CAH231319-00 ASPIRUS KEWEENAW HOSPITAL (Active)
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Main Details
Name
ASPIRUS KEWEENAW HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231319-00
Medicare Provider Number
231319
Additional Details
Current Program Status
Active
Registration Date
11/16/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/17/2010
Last Recertification Date
8/19/2024
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
205 OSCEOLA STREET
LAURIUM, MI 49913
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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