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CAH231318-08 ASPIRUS IRON RIVER HOSPITAL & CLINICS (Active)
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Main Details
Name
ASPIRUS IRON RIVER HOSPITAL & CLINICS
Subdivision Name
ASPIRUS CRYSTAL FALLS - RHC - PRIMARY CARE
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH231318-08
Medicare Provider Number
231318
Outpatient Facility Provider Number
238680
Additional Details
Current Program Status
Active
Registration Date
7/17/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/25/2018
Last Recertification Date
8/19/2024
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
1328 HIGHWAY US 2
CRYSTAL FALLS, MI 49920
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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