340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
MAYO CLINIC HEALTH SYSTEM-BARRON
RRC520070-00 MCHS EAU CLAIRE HOSPITAL
Print
Covered Entity Details
Entity Name
MCHS EAU CLAIRE HOSPITAL
Subdivision Name
Type
Rural Referral Center
340B ID
RRC520070-00
Entity Address
1221 WHIPPLE STREET
EAU CLAIRE, WI 54703
Medicare Provider Number
520070
Participating Start Date
7/1/2018
Last Recertification Date
8/13/2024
Pharmacy Details
Pharmacy Name
MAYO CLINIC HEALTH SYSTEM-BARRON
Pharmacy Address
1222 E WOODLAND AVE
BARRON, WI 54812
Pharmacy Comments
Contract Details
Approval Date
7/15/2024
Contract Begin Date
10/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/15/2025
Ownership change
Contacts
Covered Entity Signing Official
Michele Eberle, Vice Chair-Administration NWWI
(715) 568-6113
Contract Pharmacy Representative
Mayo Clinic
Jordan Daniel Haag, Associate Chief Pharmacy Officer
(507) 284-5722
Signed By Date
7/15/2024
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session