340B Drug Pricing Program Database
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DSH520136CM Ascension SE Wisconsin Hospital, Inc. (Terminated)
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Main Details
Name
Ascension SE Wisconsin Hospital, Inc.
Subdivision Name
WHEATON FRANCISCAN, INC / WOMEN'S OP CENTER/ PNAC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520136CM
Medicare Provider Number
520136
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/19/2016
Last Recertification Date
9/9/2019
Termination Date
Termination Reason
10/1/2020
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
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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