340B Drug Pricing Program Database
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DSH520138EA AURORA HEALTH CARE METRO, INC. (Active)
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Main Details
Name
AURORA HEALTH CARE METRO, INC.
Subdivision Name
AURORA HEALTH CARE METRO - SL CLINIC FRANKLIN RHEUMATOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH520138EA
Medicare Provider Number
520138
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/6/2022
Participating Start Date
10/1/2022
Participating Approval Date
7/27/2022
Last Recertification Date
8/14/2024
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
4225 W OAKWOOD PARK CT
FRANKLIN, WI 53132-8131
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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