340B Drug Pricing Program Database
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CAH521352-05 Upland Hills Health Inc. (Active)
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Main Details
Name
Upland Hills Health Inc.
Subdivision Name
UPLAND HILLS HEALTH INC - Upland Hills Health Spring Green Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521352-05
Medicare Provider Number
521352
Outpatient Facility Provider Number
528566
Additional Details
Current Program Status
Active
Registration Date
4/3/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/11/2018
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Upland Hills Health, Inc.
Arthur K. Pustina, CFO
(608) 930-8000 Ext: 4102
Primary Contact
Upland Hills Health
Jeff Robertson, Director of Pharmacy
(608) 930-8000 Ext: 3250
Addresses
Street Address
156W JEFFERSON ST
SPRING GREEN, WI 53588-8005
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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