340B Drug Pricing Program Database
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DSH520096CY Ascension All Saints Hospital, Inc. (Terminated)
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Main Details
Name
Ascension All Saints Hospital, Inc.
Subdivision Name
ALL SAINTS MEDICAL CENTER / WFH ALL SAINTS HOSPITAL MENTAL HEALTH SERVICE PARTIAL HOSPITAL PR-Wiscosnin Ave Clinics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520096CY
Medicare Provider Number
520096
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/13/2015
Last Recertification Date
9/12/2022
Termination Date
Termination Reason
10/1/2023
Site closure
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
1320 WISCONSIN AVENUE
RACINE, WI 53403-1978
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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