340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
CAH521305-00 MCHS-FRANCISCAN SPARTA (Active)
Print
Main Details
Name
MCHS-FRANCISCAN SPARTA
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521305-00
Medicare Provider Number
521305
Additional Details
Current Program Status
Active
Registration Date
10/8/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/17/2024
Last Recertification Date
Contacts
Authorizing Official
Mayo Clinic Health System
Tanner Holst, Regional Chair-Administration SWWI
(608) 392-9705
Primary Contact
Mayo Clinic Health System
Matt Lemin, Program Manager
(507) 293-3853
Addresses
Street Address
310 W MAIN
SPARTA, WI 54656
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Participated starting- 1/1/2012 Terminated starting- 10/1/2021 Reinstated- 1/1/2025
10/16/2024
2/3/12 Change name from Sparta Hospital to Franciscan Skemp Medical center to match last cost report, name will change with next cost report JH
02/03/2012
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session