340B Drug Pricing Program Database
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RRC520198-01 AURORA MEDICAL CENTER OF OSHKOSH (Terminated)
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Main Details
Name
AURORA MEDICAL CENTER OF OSHKOSH
Subdivision Name
AMCO Adult IOP - Intensive Outpatient Program
Type
Rural Referral Center
Rural
Yes
340B ID
RRC520198-01
Medicare Provider Number
520198
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2021
Participating Start Date
7/1/2021
Participating Approval Date
4/15/2021
Last Recertification Date
8/23/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
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
414 Doctors CT
Oshkosh, WI 54901-2065
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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