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CAH231333-06 ASPIRUS IRONWOOD HOSPITAL (Active)
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Main Details
Name
ASPIRUS IRONWOOD HOSPITAL
Subdivision Name
Aspirus Ironwood Infusion Center - Infusion Center
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231333-06
Medicare Provider Number
231333
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/13/2018
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Aspirus, Inc.
Jerry Yang, SVP & Chief Financial Officer, Fiscal Services
(715) 847-2526
Primary Contact
Aspirus, Inc.
Stacy Kolz, 340B Pharmacy Program Supervisor
(715) 610-4236
Addresses
Street Address
N10565 Grand View Lane
Ironwood, MI 49938
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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