340B Drug Pricing Program Database
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RRC520030-08 ASPIRUS WAUSAU HOSPITAL (Active)
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Main Details
Name
ASPIRUS WAUSAU HOSPITAL
Subdivision Name
ASPIRUS INFECTIOUS DISEASE - INFECTIOUS DISEASE CLINIC
Type
Rural Referral Center
Rural
Yes
340B ID
RRC520030-08
Medicare Provider Number
520030
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2023
Participating Start Date
2/23/2023
Participating Approval Date
2/16/2023
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
2720 PLAZA DR
STE 1400
WAUSAU, WI 54401-4166
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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