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SCH520019-02 ASPIRUS RHINELANDER HOSPITAL (Terminated)
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Main Details
Name
ASPIRUS RHINELANDER HOSPITAL
Subdivision Name
ASPIRUS EAGLE RIVER CLINIC
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH520019-02
Medicare Provider Number
520019
Outpatient Facility Provider Number
520019
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/23/2024
Last Recertification Date
Termination Date
Termination Reason
4/1/2025
Change of covered entity type
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
930 East Wall St.
Eagle River, WI 54521
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starging 10/1/2020; Terminated 10/1/2023; Reinstated 10/1/2024.
07/22/2024
Participating start date-4/1/2012; Terminated 10/1/19; Reinstated 10/1/20
07/09/2020
April 2025
April 2025
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