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CAH521352-00 Upland Hills Health Inc. (Active)
Main Details
Name
Upland Hills Health Inc.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521352-00
Medicare Provider Number
521352
Contacts
Authorizing Official
Upland Hills Health, Inc.
Arthur K. Pustina, CFO
(608) 930-8000 Ext: 4102
Primary Contact
Upland Hills Health
Jeff Robertson, Director of Pharmacy
(608) 930-8000 Ext: 3250
Additional Details
Current Program Status
Active
Registration Date
9/21/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/23/2011
Last Recertification Date
8/22/2023
Addresses
Street Address
800 Compassion Way
Dodgeville, WI 53533
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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