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DSH520096T Ascension All Saints Hospital, Inc. (Active)
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Main Details
Name
Ascension All Saints Hospital, Inc.
Subdivision Name
3805A ENDOCRINOLOGY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520096T
Medicare Provider Number
520096
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/8/2014
Last Recertification Date
8/26/2024
Contacts
Authorizing Official
Ascension All Saints
Kristin Aileen McManmon, President & CEO
(262) 687-4886
Primary Contact
Ascension WI
Cescilly Smith-Jenkins, 340B Program Director – Wisconsin
(414) 522-7533
Addresses
Street Address
3805A SPRING STREET
SUITE 310
RACINE, WI 53405-1600
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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