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DSH520136BT WHEATON FRANCISCAN, INC. (Terminated)
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Main Details
Name
WHEATON FRANCISCAN, INC.
Subdivision Name
Radiology-Diagnostic / Radiology Admin
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520136BT
Medicare Provider Number
520136
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/12/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/17/2015
Last Recertification Date
11/29/2017
Termination Date
Termination Reason
4/1/2018
Never implemented the 340B Program
Contacts
Authorizing Official
Ascension
Vanessa Freitag, Vice President, Pharmacy
(715) 897-1183
Primary Contact
Ascension WI
Cescilly Smith-Jenkins, 340B Program Director – Wisconsin
(414) 522-7533
Addresses
Street Address
201 N MAYFAIR RD
WAUWATOSA, WI 53226-4216
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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