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DSH520138T AURORA HEALTH CARE METRO, INC. (Terminated)
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Main Details
Name
AURORA HEALTH CARE METRO, INC.
Subdivision Name
Aurora Cancer Care of Aurora Health Care Metro, Inc.
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520138T
Medicare Provider Number
520138
Outpatient Facility Provider Number
520138
Additional Details
Current Program Status
Terminated
Registration Date
2/23/2012
Participating Start Date
4/1/2012
Participating Approval Date
3/12/2012
Last Recertification Date
8/13/2015
Termination Date
Termination Reason
10/1/2016
Site closure
Contacts
Authorizing Official
Advocate Aurora Health Care
Nan Nelson, SVP-Finance
(414) 378-4765
Primary Contact
Advocate Aurora Health Care
Angela De Ianni, Director Supply Chain, Pharmacy
(414) 382-1854
Addresses
Street Address
N14 W23833 Stone Ridge Drive Suite 200
Waukesha, WI 53188-1126
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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