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DSH520138AC AURORA HEALTH CARE METRO, INC. (Terminated)
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Main Details
Name
AURORA HEALTH CARE METRO, INC.
Subdivision Name
Aurora Rehabilitation Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520138AC
Medicare Provider Number
520138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/9/2014
Last Recertification Date
8/13/2015
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
Advocate Aurora Health Care
Nan Nelson, SVP-Finance
(414) 378-4765
Primary Contact
Advocate Aurora Health Care
Angela De Ianni, Director Supply Chain, Pharmacy
(414) 382-1854
Addresses
Street Address
W231 N1440 Corporate Ct.
Waukesha, WI 53186
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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