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CAH521356-00 Oconto Hospital & Medical Center, Inc. dba Bellin Health Oconto Hospital (Active)
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Main Details
Name
Oconto Hospital & Medical Center, Inc. dba Bellin Health Oconto Hospital
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521356-00
Medicare Provider Number
521356
Additional Details
Current Program Status
Active
Registration Date
4/13/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/17/2018
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Oconto Hospital & Medical Center, Inc.dba Bellin Health Oconto Hospital
Julie Ann Bulin, Vice President
(920) 835-2932
Primary Contact
Oconto Hospital & Medical Center Inc dba Bellin Health Oconto Hospital
Jason E Knox, Pharmacist
(715) 735-2213
Addresses
Street Address
820 Arbutus Avenue
Oconto, WI 54153
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating 10/1/2013 until terminated effective 1/1/2018, reinstated effective 7/1/2018.
04/13/2018
April 2025
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