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CAH521359-00 Memorial Medical Center, Inc. DBA Tamarack Health Ashland Medical Center (Active)
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Main Details
Name
Memorial Medical Center, Inc. DBA Tamarack Health Ashland Medical Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521359-00
Medicare Provider Number
521359
Additional Details
Current Program Status
Active
Registration Date
1/12/2014
Participating Start Date
4/1/2014
Participating Approval Date
3/10/2014
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Memorial Medical Center, Inc.
Kent Dumonseau, Chief Financial Officer
(715) 685-5515
Primary Contact
Memorial Medical Center DBA Tamarack Health Ashland Medical Center
Amanda J Templer, Director of Pharmacy
(715) 685-5491
Addresses
Street Address
1615 Maple Lane
Ashland, WI 54806
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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