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ASPIRUS STANLEY HOSPITAL
CAH521313-00 ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. - DBA ASPIRUS TOMAHAWK HOSPITAL
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Covered Entity Details
Entity Name
ASPIRUS RHINELANDER & TOMAHAWK HOSPITALS & CLINICS, INC. - DBA ASPIRUS TOMAHAWK HOSPITAL
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH521313-00
Entity Address
401 West Mohawk Drive
Tomahawk, WI 54487
Medicare Provider Number
521313
Participating Start Date
4/1/2012
Last Recertification Date
9/1/2021
Entity Termination Date
7/1/2022
Pharmacy Details
Pharmacy Name
ASPIRUS STANLEY HOSPITAL
Pharmacy Address
1120 PINE ST
STANLEY, WI 54768
Pharmacy Comments
Contract Details
Approval Date
7/13/2016
Contract Begin Date
10/1/2016
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/30/2017
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Sandra Anderson, Regional Vice President-Northern Region & Hospital President
(715) 361-2009
Contract Pharmacy Representative
Justin Guthman, Director of Pharmacy
(715) 387-9915
Signed By Date
7/13/2016
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