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MEMORIAL HOSP INC
SCH520037-00 MARSHFIELD MEDICAL CENTER
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Covered Entity Details
Entity Name
MARSHFIELD MEDICAL CENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH520037-00
Entity Address
611 ST JOSEPH AVENUE
MARSHFIELD, WI 54449
Medicare Provider Number
520037
Participating Start Date
7/1/2025
Last Recertification Date
Pharmacy Details
Pharmacy Name
MEMORIAL HOSP INC
Pharmacy Address
DBA MEMORIAL MEDICAL CENTER PHARMACY
216 SUNSET PL
NEILLSVILLE, WI 54456-1706
Pharmacy Comments
Contract Details
Approval Date
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2024
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Robert Chaloner, President
(715) 387-7855
Contract Pharmacy Representative
Marshfield Medical Center
Sarah Elizabeth Rall, Director of Pharmacy
(715) 389-3173
Signed By Date
10/14/2020
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