340B Drug Pricing Program Database
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DSH520138DT AURORA HEALTH CARE METRO, INC. (Active)
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Main Details
Name
AURORA HEALTH CARE METRO, INC.
Subdivision Name
Aurora Sinai Medical Center - Sinai Downtown Pulmonary Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520138DT
Medicare Provider Number
520138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/7/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/2/2016
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Advocate Aurora Health Care
Nan Nelson, SVP-Finance
(414) 378-4765
Primary Contact
Advocate Aurora Health
Jason G Nowak, Director, Pharmacy 340B Program
(414) 640-8457
Addresses
Street Address
960 N 12th St
Milwaukee, WI 53233
Billing Address
Aurora Sinai Medical Center
945 N 12th Street
Milwaukee, WI 53233
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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