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ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS
CAH521311-00 ASPIRUS STANLEY HOSPITAL & CLINICS, INC.
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Covered Entity Details
Entity Name
ASPIRUS STANLEY HOSPITAL & CLINICS, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521311-00
Entity Address
1120 PINE STREET
STANLEY, WI 54768
Medicare Provider Number
521311
Participating Start Date
1/1/2011
Last Recertification Date
8/22/2024
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
Contract Termination Date
Termination Reason
4/30/2024
Business decision by covered entity and/or pharmacy
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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