340B Drug Pricing Program Database
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DSH520035D AURORA HEALTH CARE CENTRAL INC.DBA AURORA SHEBOYGAN MEMORIAL MEDICAL CENTER (Active)
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Main Details
Name
AURORA HEALTH CARE CENTRAL INC.DBA AURORA SHEBOYGAN MEMORIAL MEDICAL CENTER
Subdivision Name
Aurora Cancer Care of Aurora Sheboygan Memorial Medical Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520035D
Medicare Provider Number
520035
Outpatient Facility Provider Number
520035
Additional Details
Current Program Status
Active
Registration Date
2/23/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/19/2012
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Advocate Aurora Health Care
Nan Nelson, SVP-Finance
(414) 378-4765
Primary Contact
Advocate Aurora Health
Jason G Nowak, Director, Pharmacy 340B Program
(414) 640-8457
Addresses
Street Address
1222 N 23rd Street
Sheboygan, WI 53081-3171
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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