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SCH230055-06 Marshfield Medical Center - Dickinson (ToBeTerminated)
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Main Details
Name
Marshfield Medical Center - Dickinson
Subdivision Name
Marshfield Medical Center - Dickinson Norway Family and Geriatric Center
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH230055-06
Medicare Provider Number
230055
Outpatient Facility Provider Number
238643
Additional Details
Current Program Status
ToBeTerminated
Registration Date
7/1/2013
Participating Start Date
7/1/2017
Participating Approval Date
8/26/2013
Last Recertification Date
8/23/2024
Termination Date
Termination Reason
7/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Marshfield Clinic Health System
Jeffrey Poppen, CFO
(715) 387-5119
Primary Contact
Marshfield Medical Center
Kirstia Neuendorf, 340B Program Manager
(715) 858-4308
Addresses
Street Address
500 Main Street
Norway, MI 49870
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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6/14/17 Participated starting 10/1/2013, terminated 10/1/2016. Reinstated 7/1/2017.
06/14/2017
June 2025
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