340B Drug Pricing Program Database
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CAH521328-01 MARSHFIELD MEDICAL CENTER LADYSMITH (Active)
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Main Details
Name
MARSHFIELD MEDICAL CENTER LADYSMITH
Subdivision Name
MMC-Ladysmith - Cornell Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH521328-01
Medicare Provider Number
521328
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/4/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/27/2022
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
MCHS Ladysmith
Michele Seator, VP-Operations and Patient Care Service-Ladysmith
(715) 609-3313
Primary Contact
Marshfield Medical Center
Kirstia Neuendorf, 340B Program Manager
(715) 858-4308
Addresses
Street Address
600 Woodside Drive
Cornell, WI 54732
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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