340B Drug Pricing Program Database
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DSH520138DU AURORA HEALTH CARE METRO, INC. (Active)
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Main Details
Name
AURORA HEALTH CARE METRO, INC.
Subdivision Name
St Luke's Medical Center/OP Rehab Satellite / SLM PMR Back and Spine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520138DU
Medicare Provider Number
520138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/31/2017
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
2901 W. Kinnickinnic Parkway Suite 310
Milwaukee, WI 53215
Billing Address
Aurora St. Luke's Medical Center
2900 W. Oklahoma Ave.
Milwaukee, WI 53215
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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