340B Drug Pricing Program Database
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CAH521328-00 MARSHFIELD MEDICAL CENTER LADYSMITH (Active)
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Main Details
Name
MARSHFIELD MEDICAL CENTER LADYSMITH
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521328-00
Medicare Provider Number
521328
Additional Details
Current Program Status
Active
Registration Date
7/3/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/4/2019
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Marshfield Clinic Health System
Jeffrey Poppen, CFO
(715) 387-5119
Primary Contact
Marshfield Clinic Health System
Christina Kellar, Director - 340B
(262) 328-7086
Addresses
Street Address
1200 Port Arthur Road
LADYSMITH, WI 54848
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2017, terminated 10/1/2018. Reinstated 10/1/2019.
07/09/2019
June 2025
June 2025
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