340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
SCH520019-15 ASPIRUS RHINELANDER HOSPITAL (Terminated)
Print
Main Details
Name
ASPIRUS RHINELANDER HOSPITAL
Subdivision Name
ASPIRUS PLOVER CLINIC - PLOVER ROAD - PLOVER FAMILY PRACTICE - PLOVER ROAD
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH520019-15
Medicare Provider Number
520019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/13/2024
Participating Start Date
10/1/2024
Participating Approval Date
9/3/2024
Last Recertification Date
Termination Date
Termination Reason
4/1/2025
Change of covered entity type
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
2401 PLOVER ROAD
PLOVER, WI 54467
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participated starting 4/1/2023; Terminated 10/1/2023; Reinstated 10/1/2024.
08/30/2024
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session