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DSH520210 MARSHFIELD MEDICAL CENTER-EAU CLAIRE (Terminated)
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Main Details
Name
MARSHFIELD MEDICAL CENTER-EAU CLAIRE
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520210
Medicare Provider Number
520210
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/26/2021
Last Recertification Date
Termination Date
Termination Reason
4/1/2022
DSH percentage below statutory minimum
Contacts
Authorizing Official
MCHS-Eau Claire
Bill Priest, CAO
(715) 858-4782
Primary Contact
Marshfield Medical Center
Kirstia Neuendorf, 340B Program Manager
(715) 858-4308
Addresses
Street Address
2310 Craig Road
EAU CLAIRE, WI 54701
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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