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ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS
CAH521350-00 LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN; DBA ASPIRUS LANGLADE HOSPITAL
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Covered Entity Details
Entity Name
LANGLADE HOSPITAL - HOTEL DIEU OF ST. JOSEPH OF ANTIGO WISCONSIN; DBA ASPIRUS LANGLADE HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521350-00
Entity Address
112 E. 5TH AVENUE
ANTIGO, WI 54409
Medicare Provider Number
521350
Participating Start Date
4/1/2011
Last Recertification Date
8/23/2024
Pharmacy Details
Pharmacy Name
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS
Pharmacy Address
DBA: ASPIRUS PHARMACY - WESTWOOD WAUSAU
1901 WESTWOOD CENTER BLVD
WAUSAU, WI 54401
Pharmacy Comments
Contract Details
Approval Date
10/11/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
PAT TINCHER, Vice President-Finance, Regional Markets
(715) 847-2425
Contract Pharmacy Representative
Saint Mary's Hospital
Laurie Renee Oungst, Chief Admin Officer
(715) 356-8560
Signed By Date
10/11/2021
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