340B Drug Pricing Program Database
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RRC520030-06 ASPIRUS WAUSAU HOSPITAL (Active)
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Main Details
Name
ASPIRUS WAUSAU HOSPITAL
Subdivision Name
ASPIRUS WAUSAU HOSPITAL KIDNEY CARE - ASPIRUS NEPHROLOGY CLINIC
Type
Rural Referral Center
Rural
Yes
340B ID
RRC520030-06
Medicare Provider Number
520030
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/17/2022
Participating Start Date
1/1/2023
Participating Approval Date
12/5/2022
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Aspirus, Inc.
Jerry Yang, SVP & Chief Financial Officer, Fiscal Services
(715) 847-2526
Primary Contact
Aspirus, Inc.
Stacy Kolz, 340B Pharmacy Program Supervisor
(715) 610-4236
Addresses
Street Address
3000 WESTHILL DRIVE
WAUSAU, WI 54401
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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