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ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS
CAH521339-00 ASPIRUS MERRILL HOSPITAL & CLINICS, INC.
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Covered Entity Details
Entity Name
ASPIRUS MERRILL HOSPITAL & CLINICS, INC.
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521339-00
Entity Address
601 SOUTH CENTER AVENUE
MERRILL, WI 54452
Medicare Provider Number
521339
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
10/13/2021
Contract Begin Date
1/1/2022
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
5/10/2022
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
10/13/2021
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