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SCH520037-00 MARSHFIELD MEDICAL CENTER (Approved)
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Main Details
Name
MARSHFIELD MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH520037-00
Medicare Provider Number
520037
Additional Details
Current Program Status
Approved
Registration Date
4/14/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/17/2025
Last Recertification Date
Contacts
Authorizing Official
Marshfield Medical Center-Marshfield/Neillsville
Robert Chaloner, President
(715) 387-7855
Primary Contact
Marshfield Clinic Health System
Girish Kaimal, Chief Pharmacy Officer
(623) 296-2075
Addresses
Street Address
611 ST JOSEPH AVENUE
MARSHFIELD, WI 54449
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2019, terminated 1/1/2024. Reinstated 7/1/2025.
04/15/2025
Participating from effective date (7/1/2018), effective termination date (01/01/2019), reinstatement date: (01/01/2019)
10/25/2018
May 2025
May 2025
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