340B Drug Pricing Program Database
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DSH520138BH AURORA HEALTH CARE METRO INC. (Terminated)
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Main Details
Name
AURORA HEALTH CARE METRO INC.
Subdivision Name
Aurora St. Luke's Medical Center / SL Cancer and Lymph
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520138BH
Medicare Provider Number
520138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/8/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/1/2014
Last Recertification Date
8/18/2016
Termination Date
Termination Reason
1/1/2018
Business decision by the Covered Entity
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
2801 W KK River Parkway Suite 160
Milwaukee, WI 53215
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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