340B Drug Pricing Program Database
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DSH520096DT Ascension All Saints Hospital, Inc. (Active)
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Main Details
Name
Ascension All Saints Hospital, Inc.
Subdivision Name
Wisconsin Avenue AMG Psychiatry
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520096DT
Medicare Provider Number
520096
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/29/2016
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
1244 WISCONSIN AVE
RACINE, WI 53403-1987
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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