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CAH521325-00 FLAMBEAU HOSPITAL INC. (Active)
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Main Details
Name
FLAMBEAU HOSPITAL INC.
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521325-00
Medicare Provider Number
521325
Additional Details
Current Program Status
Active
Registration Date
4/2/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/7/2021
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
MCHS Hospital
Ty Erickson, President-MMC-Minocqua/Park Falls
(715) 358-1299 Ext: 1704
Primary Contact
Marshfield Clinic Health System
Girish Kaimal, Chief Pharmacy Officer
(623) 296-2075
Addresses
Street Address
98 SHERRY AVENUE
PARK FALLS, WI 54552-0310
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start 10/1/2013, Terminated 10/1/2016, Reinstatement 7/1/2021
04/07/2021
April 2025
April 2025
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