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SCH520019-14 ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. - DBA ASPIRUS RHINELANDER HOSPITAL (Terminated)
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Main Details
Name
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. - DBA ASPIRUS RHINELANDER HOSPITAL
Subdivision Name
ASPIRUS RHINELANDER CLINIC - N CHIPPEWA DRIVE - N CHIPPEWA DRIVE FAMILY PRACTICE
Type
Sole Community Hospital
Rural
Yes
340B ID
SCH520019-14
Medicare Provider Number
520019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/6/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/17/2023
Last Recertification Date
Termination Date
Termination Reason
10/1/2023
Change of covered entity type
Contacts
Authorizing Official
Aspirus, Inc
PAT TINCHER, Vice President-Finance, Regional Markets
(715) 847-2425
Primary Contact
Aspirus, Inc.
Stacy Kolz, 340B Pharmacy Program Supervisor
(715) 610-4236
Addresses
Street Address
1630 N CHIPPEWA DRIVE
RHINELANDER, WI 54501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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