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DSH520078G Ascension St. Francis Hospital, Inc. (Terminated)
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Main Details
Name
Ascension St. Francis Hospital, Inc.
Subdivision Name
WHEATON FRANCISCAN HEALTHCARE / St Francis Wound Healing-Oklahoma Clinics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520078G
Medicare Provider Number
520078
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/9/2015
Last Recertification Date
9/8/2021
Termination Date
Termination Reason
10/1/2022
Outpatient facility moved within the 4 walls of the parent hospital
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
2025 WEST OKLAHOMA AVENUE
ST FRANCIS MEDICAL ARTS BUILDING
MILWAUKEE, WI 53215-4455
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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