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DSH520075K ST.VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS (Active)
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Main Details
Name
ST.VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS
Subdivision Name
HSHS St. Vincent Cancer Centers at HSHS St. Nicholas Hospital - Medical Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH520075K
Medicare Provider Number
520075
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/16/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/9/2023
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
HSHS
Michael Scialdone, SVP-Chief Financial Officer
(217) 492-6594
Primary Contact
HSHS St. Vincent Hospital
Susan Wheeler, PHARMACY DIRECTOR
(920) 459-4687
Addresses
Street Address
1621 N Taylor Dr
Suite 300
Sheboygan, WI 53081
Billing Address
Consolidated Services
PO Box 3646
Springfield, IL 62708
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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