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DSH520098CC UNIVERSITY OF WI HOSPITALS & CLINICS (Active)
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Main Details
Name
UNIVERSITY OF WI HOSPITALS & CLINICS
Subdivision Name
AFCH - CLINICS - AUDIOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520098CC
Medicare Provider Number
520098
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/5/2022
Participating Start Date
7/1/2022
Participating Approval Date
5/10/2022
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
UW Health
Robert W Flannery, Senior VP/Chief Financial Officer
(608) 265-7131
Primary Contact
UW Health
Dan Schenkat, Director of Pharmacy - Business Services and East Madison Hospital
(608) 203-4897
Addresses
Street Address
1675 HIGHLAND AVE
MADISON, WI 53792
Billing Address
UW Health – Accounts Payable
PO Box 5448
Madison, WI 53705
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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