340B Drug Pricing Program Database


DSH360137AE UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (Active) - information as of 5/2/2025 10:40:54 PM

Main Details
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
UH Minoff Health Center at Chagrin Highlands / Harrington Heart and Vascular Institute, Non Invasive Cardiology
Disproportionate Share Hospital
Yes
DSH360137AE
360137


Additional Details
Active
7/17/2017
10/1/2017
7/26/2017
8/27/2024

Contacts

University Hospitals
Tricia L Bires, Vice President, Treasury
(216) 767-8708

University Hospitals Health System
Ryan Rosenthal, Manager of Reimbursement
(216) 767-8138

Addresses

3909 Orange Pl, STE 3300
Orange Village, OH 44122-4478

Same as Street Address


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

Yes
StateMedicaid NumberNPI Number
OH89624211043397292
Shipping Addresses

UNIV. HOSPITALS OF CLEVELAND, INC.
3909 ORANGE PLACE, SUITE 2000
PHARMACY
ORANGE VILLAGE, OH 44122
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH360137AChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Minoff Health Center at Chagrin Highlands / Medical Oncology3909 ORANGE PLACE, STE 1100ORANGE VILLAGEOHActive
DSH360137AAChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUH Minoff Health Center at Chagrin Highlands / Radiology3909 Orange PlOrange VillageOHTerminated
DSH360137ABChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Minoff Health Center Neurology3909 Orange Pl, STE 2300AOrange VillageOHActive
DSH360137ACChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUH WESTLAKE HEALTH CENTER / Seidman Cancer Center960 CLAGUE RDWESTLAKEOHTerminated
DSH360137ADChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Minoff Health Center at Chagrin Highlands / Digestive Health Institute3909 Orange Pl, STE 3200Orange VillageOHActive
DSH360137AEChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Minoff Health Center at Chagrin Highlands / Harrington Heart and Vascular Institute, Non Invasive Cardiology3909 Orange Pl, STE 3300Orange VillageOHActive
DSH360137AFChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUH CHAGRIN HIGHLANDS MEDICAL CENTER / Cancer Center3909 ORANGE PLBEACHWOODOHTerminated
DSH360137AGChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUH Sharon Health Center - Radiology5133 Ridge RoadSharon CenterOHTerminated
DSH360137AHChildDSHUNIVERSITY HOSPITALS OF CLEVELANDRAINBOW CENTER FOR WOMEN AND CHILDREN - MAC HOUSE IMAGING - MAC HOUSE IMAGING5805 EUCLID AVE, STE 200CLEVELANDOHTerminated
DSH360137AJChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERRAINBOW CENTER FOR WOMEN AND CHILDREN - OB CLINC - OB CLINIC5805 EUCLID AVE, STE 200CLEVELANDOHActive
DSH360137AKChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Minoff Health Center at Chagrin Highlands / Medical Oncology - Medical Oncology3909 Orange Place, STE 4600Orange VillageOHActive
DSH360137ALChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Westlake Health Center - Coumadin Clinic960 Clague Road, STE 2300WestlakeOHActive
DSH360137AMChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Kathy Risman Pavilion - Fertility Center1000 Auburn Drive, STE 310BeachwoodOHActive
DSH360137ANChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Fertility Center Westlake - Fertility Clinic2055 Crocker Rd, STE 206WestlakeOHActive
DSH360137APChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUH Mentor Health Center - Physical Therapy9000 Mentor AveMentorOHTerminated
DSH360137AQChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Geauga Medical Center - Medical Oncology13207 Ravenna Rd, STE 1900ChardonOHActive
DSH360137ARChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Geauga Medical Center - Radiation Oncology13207 Ravenna Rd, STE 1900ChardonOHTerminated
DSH360137ASChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Geauga Medical Center - Infusion Center13207 Ravenna Rd, STE 1900ChardonOHActive
DSH360137ATChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Parma Medical Center - Medical Oncology7007 Powers BlvdParmaOHActive
DSH360137AUChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Parma Medical Center - Radiation Oncology7007 Powers BlvdParmaOHActive
DSH360137AVChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Parma Medical Center - Infusion Center7007 Powers BlvdParmaOHActive
DSH360137AWChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Mentor Hopkins Health Center / Cardiology Suite - Adult EKG9000 Mentor Ave, STE 212MentorOHActive
DSH360137AXChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Mentor Hopkins Health Center / Coumadin Clinic - Coumadin Clinic9000 Mentor Ave, STE 212MentorOHActive
DSH360137AYChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Hudson Health Center / Physical Therapy - Physical Therapy5778 Darrow Rd, STE 105HudsonOHActive
DSH360137AZChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Otis Moss Medical Center - Moss Clinic Adult8819 Quincy AveClevelandOHActive
DSH360137BChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUH Westlake Medical Center / Medical Oncology960 CLAGUE ROADWESTLAKEOHTerminated
DSH360137BAChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Seidman Cancer Center at UH Avon Health Center - Medical Oncology2075 Healthway DriveAvonOHActive
DSH360137BBChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Seidman Cancer Center at Mentor Health Center - Medical Oncology9485 Mentor Ave, STE 3MentorOHActive
DSH360137BCChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Seidman Cancer Center at UH Avon Health Center - Radiation Oncology2075 Healthway DriveAvonOHActive
DSH360137BDChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Seidman Cancer Center at Mentor Health Center - Radiation Oncology9485 Mentor Ave, STE 3MentorOHActive
DSH360137BEChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Landerbrook Health Center - Uro Gynecology5850 Landerbrook Drive, STE 210Mayfield HeightsOHActive
DSH360137BFChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUHCMC/MACDONALD WOMEN'S HOSPITAL25001 Emery Rd, STE 125AClevelandOHTerminated
DSH360137BGChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH TWINSBURG TOWN CENTER - OB Practice8900 Darrow Road, STE H111TwinsburgOHActive
DSH360137BHChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERMACDONALD WOMEN'S HOSPITAL AT RISMAN PAVILION - OBGYN Clinic1000 Auburn Drive, STE 320BeachwoodOHActive
DSH360137BJChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERMACDONALD WOMEN'S HOSPITAL AT CROCKER - OBGYN Clinic2055 Crocker Road, STE 206BWestlakeOHActive
DSH360137BKChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Minoff Health Center at Chagrin Highlands / Radiation Oncology - Radiation Oncology3909 ORANGE PLACE, STE 1100ORANGE VILLAGEOHActive
DSH360137BLChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Minoff Health Center at Chagrin Highlands / SCC Infusion Center - SCC Infusion3909 ORANGE PLACE, STE 1100ORANGE VILLAGEOHActive
DSH360137BMChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Seidman Cancer Center at UH Avon Health Center - SCC Infusion Center - SCC Infusion2075 Healthway DriveAvonOHActive
DSH360137BNChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Seidman Cancer Center at Mentor Health Center - SCC infusion Center - SCC Infusion9485 Mentor Ave, STE 3MentorOHActive
DSH360137CChildDSHUNIVERSITY HOSPITALS OF CLEVELANDSUBURBAN HEALTH CENTER1611 SOUTH GREEN ROADSOUTH EUCLIDOHTerminated
DSH360137DChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUH Seidman Cancer Center at Monarch Building (Landerbrook II) / Medical Oncology5885 LANDERBROOK DRIVEMAYFIELD HEIGHTSOHTerminated
DSH360137EChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUHCMC SCC13207 RAVENNA ROADCHARDONOHTerminated
DSH360137FChildDSHUNIVERSITY HOSPITALS OF CLEVELANDTWINSBURG HEALTH CENTER8819 COMMONS BLVDTWINSBURGOHTerminated
DSH360137GChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH St John Medical Center / Medical Oncology29325 Health Campus Drive, STE 1WESTLAKEOHActive
DSH360137HChildDSHUNIVERSITY HOSPITALS OF CLEVELANDCONCORD HEALTH CENTER7500 AUBURN ROADCONCORD TWPOHTerminated
DSH360137JChildDSHUNIVERSITY HOSPITALS OF CLEVELANDMEDINA HEALTH CENTER4001 CARRICK DRIVEMEDINAOHTerminated
DSH360137KChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Sharon Health Center / Seidman Cancer Center Infusion Center5133 RIDGE ROADWADSWORTHOHActive
DSH360137LChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Mentor Hopkins Health Center / Surgery Center9000 Mentor Avenue, STE 220MentorOHActive
DSH360137MChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Suburban Health Center/Surgery Center Suite1611 S. Green Road, STE 124South EuclidOHActive
DSH360137NChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Portage Medical Center / SCC Radiation Oncology6847 N CHESTNUT ST, STE 10RAVENNAOHActive
DSH360137PChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Portage Medical Center / Medical Oncology6847 N CHESTNUT ST 310RAVENNAOHActive
DSH360137QChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Portage Medical Center / Seidman Cancer Center Infusion6847 N CHESTNUT ST, STE 310RAVENNAOHActive
DSH360137RChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Sharon Health Center / Medical Oncology5133 Ridge RoadWadsworthOHActive
DSH360137SChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Westlake Health Center / Cardiology Suite960 Clague Rd, STE 2300WestlakeOHActive
DSH360137TChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Westlake Health Center / Digestive Health Institute 960 Clague Rd, STE 2100WestlakeOHActive
DSH360137UChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUH Westlake Health Center / Radiology Suite960 Clague RdWestlakeOHTerminated
DSH360137VChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Westlake Health Center / Wound Clinic Suite960 Clague Rd, STE 2300WestlakeOHActive
DSH360137WChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUH Sharon Health Center / MRI Mobile5133 RIDGE RD 2Sharon CenterOHTerminated
DSH360137XChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Westlake Health Center / Surgery Center Suite960 Clague RD, STE 2200WestlakeOHActive
DSH360137YChildDSHUNIVERSITY HOSPITALS OF CLEVELANDUH Minoff Health Center at Chagrin Highlands / Nuclear Medicine3909 Orange PlOrange VillageOHTerminated
DSH360137ZChildDSHUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTERUH Ahuja Medical Center / Breast Center3999 Richmond Road, STE 1100BeachwoodOHActive
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
ContactsPrimary ContactUpdateGroup Change RequestDaniels, Dana SFA University Hospitals 2162860111Rosenthal, Ryan Manager of Reimbursement University Hospitals Health System 21676781382/20/2025 7:56 AM
AddressesShipping AddressInsertChange Request UNIV. HOSPITALS OF CLEVELAND, INC. 3909 ORANGE PLACE, SUITE 2000 PHARMACY ORANGE VILLAGE, OH 4412211/12/2024 2:51 PM
DetailsLast Recertification DateUpdateRecertification9/2/2023 8:56:56 AM8/27/2024 8:29:01 AM8/27/2024 8:29 AM
ContactsAuthorizing OfficialUpdateAO Change RequestSchillero, Anthony James Director, Financial Planning and Analysis University Hospitals 2167890429Bires, Tricia L Vice President, Treasury University Hospitals 21676787085/28/2024 6:19 AM
DetailsLast Recertification DateUpdateRecertification8/25/2022 7:39:59 AM9/2/2023 8:56:56 AM9/2/2023 8:56 AM
DetailsEntity NameUpdateChange RequestUNIVERSITY HOSPITALS OF CLEVELANDUNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER3/24/2023 7:59 AM
ContactsAuthorizing OfficialUpdateChange RequestVehovec, Michael R. Corporate Controller UH 2167678729Schillero, Anthony James Director, Financial Planning and Analysis University Hospitals 216789042911/29/2022 1:32 PM
DetailsLast Recertification DateUpdateRecertification8/17/2021 2:49:10 PM8/25/2022 7:39:59 AM8/25/2022 7:39 AM
AddressesMain AddressUpdateChange Request 3909 Orange Pl Suite 3300 Orange Village, OH 44122-4478 3909 Orange Pl, STE 3300 Orange Village, OH 44122-44785/26/2022 10:32 PM
DetailsLast Recertification DateUpdateRecertification9/1/2020 8:52:49 AM8/17/2021 2:49:10 PM8/17/2021 2:49 PM
Medicaid BillingNPI: StateUpdateRecertification OH9/1/2020 8:52 AM
DetailsLast Recertification DateUpdateRecertification8/20/2019 11:43:11 AM9/1/2020 8:52:49 AM9/1/2020 8:52 AM
DetailsEntity SubnameUpdateChange RequestUH Chargin Highlands Medical Center / Harrington Heart and Vascular Institute, Non Invasive CardiologyUH Minoff Health Center at Chagrin Highlands / Harrington Heart and Vascular Institute, Non Invasive Cardiology1/10/2020 11:25 AM
DetailsLast Recertification DateUpdateRecertification8/21/2018 8:37:20 AM8/20/2019 11:43:11 AM8/20/2019 11:43 AM
DetailsLast Recertification DateUpdateRecertification11/17/2017 2:17:07 PM8/21/2018 8:37:20 AM8/21/2018 8:37 AM
AddressesMain AddressUpdateChange Request 3909 Orange Pl Suite 3300 Beechwood, OH 44122-4478 3909 Orange Pl Suite 3300 Orange Village, OH 44122-44784/27/2018 8:32 AM
DetailsEntity SubnameUpdateChange RequestUH Chargin Highlands Medical Center / Harrington Heart and Vascular Institute, Non Invasive Cardiology - Suite 3300UH Chargin Highlands Medical Center / Harrington Heart and Vascular Institute, Non Invasive Cardiology4/27/2018 8:32 AM
ContactsPrimary ContactInsertRecertification Daniels, Dana SFA University Hospitals 216286011111/17/2017 2:17 PM
DetailsLast Recertification DateUpdateRecertification 11/17/2017 2:17:07 PM11/17/2017 2:17 PM
ContactsAuthorizing OfficialUpdate Vehovec, Michael R. Corporate Controller 2167678729Vehovec, Michael R. Corporate Controller UH 216767872910/20/2017 11:35 AM
ContactsSigned ByUpdate Vehovec, Michael R. Corporate Controller 2167678729Vehovec, Michael R. Corporate Controller UH 216767872910/20/2017 11:35 AM
ContactsAuthorizing OfficialInsert  Vehovec, Michael R. Corporate Controller 21676787297/26/2017 4:12 PM
ContactsSigned ByInsert  Vehovec, Michael R. Corporate Controller 21676787297/26/2017 4:12 PM
AddressesMain AddressInsert   3909 Orange Pl Suite 3300 Beechwood, OH 44122-44787/26/2017 4:12 PM
DetailsStateUpdate ApprovedActive7/26/2017 4:12 PM
DatesParticipating Approval DateUpdate  7/26/2017 12:00:00 AM7/26/2017 4:11 PM
DetailsStateUpdate PendingApproved7/26/2017 4:11 PM
DatesStart DateUpdate  10/1/2017 12:00:00 AM7/26/2017 4:11 PM
Details340B IDUpdate OUTPATIENT_ONLINE_REG_79054DSH360137AE7/18/2017 8:40 AM
Details340B IDUpdate  OUTPATIENT_ONLINE_REG_790547/17/2017 4:21 PM
Medicaid BillingMedicaid: Is PrimaryInsert  False7/17/2017 4:21 PM
Medicaid BillingMedicaid: NumberInsert  89624217/17/2017 4:21 PM
Medicaid BillingMedicaid: StateInsert  OH7/17/2017 4:21 PM
Medicaid BillingNPI: NumberInsert  10433972927/17/2017 4:21 PM
DetailsLast Recertification DateInsert   7/17/2017 4:21 PM
DetailsGrant NumberInsert   7/17/2017 4:21 PM
Details340B IDInsert   7/17/2017 4:21 PM
DetailsIs Authorizing Official EHB DataInsert   7/17/2017 4:21 PM
DatesLast Date That 340B Drugs PurchasedInsert   7/17/2017 4:21 PM
DetailsMedicare Provider NumberInsert  3601377/17/2017 4:21 PM
DetailsEntity NameInsert  UNIVERSITY HOSPITALS OF CLEVELAND7/17/2017 4:21 PM
DetailsProgram CodeInsert  DSH7/17/2017 4:21 PM
DetailsEntity SubnameInsert  UH Chargin Highlands Medical Center / Harrington Heart and Vascular Institute, Non Invasive Cardiology - Suite 33007/17/2017 4:21 PM
DatesParticipating Approval DateInsert   7/17/2017 4:21 PM
DetailsStateInsert  Pending7/17/2017 4:21 PM
DatesRegistration DateInsert  7/17/2017 12:00:00 AM7/17/2017 4:21 PM
DatesSigned By DateInsert  7/17/2017 12:00:00 AM7/17/2017 4:21 PM
DatesStart DateInsert   7/17/2017 4:21 PM
TerminationsTermination CommentsInsert   7/17/2017 4:21 PM
TerminationsTermination DateInsert   7/17/2017 4:21 PM
TerminationsTermination Effective DateInsert   7/17/2017 4:21 PM
TerminationsTermination ReasonInsert   7/17/2017 4:21 PM