340B Drug Pricing Program Database
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CAH521316-00 Tri-County Memorial Hospital, Inc. (Active)
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Main Details
Name
Tri-County Memorial Hospital, Inc.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521316-00
Medicare Provider Number
521316
Additional Details
Current Program Status
Active
Registration Date
5/30/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/7/2012
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Gundersen Tri County
Kristy Millering, Finance Administrator
(715) 538-1788 Ext: 64024
Primary Contact
Tri-County Memorial Hospital, Inc.
Katherine J Cain, Pharmacy Manager
(715) 538-4361 Ext: 64271
Addresses
Street Address
18601 Lincoln Street
Whitehall, WI 54773
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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