340B Drug Pricing Program Database
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DSH520089E Meriter Health Services (Active)
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Main Details
Name
Meriter Health Services
Subdivision Name
UnityPoint Health-Meriter-Middleton Clinic-Family Medicine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520089E
Medicare Provider Number
520089
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/15/2013
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
UnityPoint Health-Meriter
Beth Erdman, CFO
(608) 417-5800
Primary Contact
Meriter Health Services
Nikita Pianzov, Pharmacy 340b Analyst
(608) 417-6708
Addresses
Street Address
7780 Elmwood Avenue
Suite 201
Middleton, WI 53562
Billing Address
Meriter Health Services
202 S Park St
Madison, WI 53715
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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