340B Drug Pricing Program Database
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CAH521324-00 ASPIRUS MEDFORD HOSPITAL & CLINICS, INC. (Active)
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Main Details
Name
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521324-00
Medicare Provider Number
521324
Additional Details
Current Program Status
Active
Registration Date
11/28/2010
Participating Start Date
1/1/2011
Participating Approval Date
11/29/2010
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
135 SOUTH GIBSON STREET
MEDFORD, WI 54451
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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