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| Issue Date FY: 2021 ( Subtotal = $6,953,440 ) |
| 2021 | 2021 | Health Services, Wisconsin Department of | 1 W WILSON ST RM 651 | Madison | WI | 53703 | DANE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 4 | 1 | 7/6/2021 | SUPPLEMENT FOR EXPANSION | $1,738,360 |
| 2021 | 2021 | Health Services, Wisconsin Department of | 1 W WILSON ST RM 651 | Madison | WI | 53703 | DANE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 3 | 1 | 4/7/2021 | SUPPLEMENT FOR EXPANSION | $1,738,360 |
| 2021 | 2021 | Health Services, Wisconsin Department of | 1 W WILSON ST RM 651 | Madison | WI | 53703 | DANE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 0 | 1 | 10/9/2020 | NEW | $1,371,914 |
| 2021 | 2021 | Health Services, Wisconsin Department of | 1 W WILSON ST RM 651 | Madison | WI | 53703 | DANE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 1 | 1 | 12/30/2020 | NEW | $324,030 |
| 2021 | 2021 | Health Services, Wisconsin Department of | 1 W WILSON ST RM 651 | Madison | WI | 53703 | DANE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 2 | 1 | 1/22/2021 | SUPPLEMENT FOR EXPANSION | $1,780,776 |
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