340B Drug Pricing Program Database
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CAH521339-00 ASPIRUS MERRILL HOSPITAL & CLINICS, INC. (Active)
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Main Details
Name
ASPIRUS MERRILL HOSPITAL & CLINICS, INC.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521339-00
Medicare Provider Number
521339
Additional Details
Current Program Status
Active
Registration Date
12/10/2010
Participating Start Date
1/1/2011
Participating Approval Date
12/15/2010
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
601 SOUTH CENTER AVENUE
MERRILL, WI 54452
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/19/12 - Deleted medicaid # (was 11007300)
03/19/2012
May 2025
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