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SCH520019-01 Ascension Sacred Heart - St. Mary's Hospitals, Inc. DBA Ascension Saint Mary's Hospital (Terminated)
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Main Details
Name
Ascension Sacred Heart - St. Mary's Hospitals, Inc. DBA Ascension Saint Mary's Hospital
Subdivision Name
Ministry Medical Group-Crandon
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH520019-01
Medicare Provider Number
520019
Outpatient Facility Provider Number
520019
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2020
Participating Start Date
10/1/2020
Participating Approval Date
7/6/2020
Last Recertification Date
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Ascension Eagle River Hospital
Laurie Oungst, Chief Administrative Officer
(715) 356-8560
Primary Contact
Ascension WI
Bryan Pearce, 340B Program Director - North Region
(715) 479-0312
Addresses
Street Address
400 West Glen St.
Crandon, WI 54520
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating start date 4/1/2012. Terminated 10/1/2019. Reinstated 10/1/2020.
07/06/2020
April 2025
April 2025
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