340B Drug Pricing Program Database
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DSH520138DP AURORA HEALTH CARE METRO INC. (Terminated)
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Main Details
Name
AURORA HEALTH CARE METRO INC.
Subdivision Name
Aurora St. Luke's Medical Center / Aurora Rehabilitation Center - Greenfield
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520138DP
Medicare Provider Number
520138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/16/2016
Last Recertification Date
Termination Date
Termination Reason
1/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Advocate Aurora Health Care
Nan Nelson, SVP-Finance
(414) 378-4765
Primary Contact
Aurora Health Care
Angela De Ianni, Director, Pharmacy Supply Chain
(414) 382-1854
Addresses
Street Address
4131 W Loomis Road Suite 200
Greenfield, WI 53221
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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