Covered Entity Details

DSH360075D UH REGIONAL HOSPITALS (Terminated) - information as of 6/17/2025 7:58:40 AM

Main Details

Name

UH REGIONAL HOSPITALS

Subdivision Name

BEDFORD MEDICAL OFFICE BUILDING - Urology Institute

Type

Disproportionate Share Hospital

Rural

340B ID

DSH360075D

Medicare Provider Number

360075

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

7/13/2020

Participating Start Date

10/1/2020

Participating Approval Date

7/20/2020

Last Recertification Date

Termination Date
Termination Reason

10/1/2021
Business decision by the Covered Entity

Contacts

Authorizing Official

UH
Michael R. Vehovec, Corporate Controller
(216) 767-8729

Primary Contact

University Hospitals
Dana Daniels, SFA
(216) 286-0111

Addresses

Street Address

88 CENTER RD
STE 360
BEDFORD, OH 44146-2711

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
OH	7344190
		1669562864

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH360075A	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Respiratory Therapy	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075B	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - CT	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075C	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - EEG	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075D	Child	DSH	UH REGIONAL HOSPITALS	BEDFORD MEDICAL OFFICE BUILDING - Urology Institute	88 CENTER RD	BEDFORD	OH	Terminated
DSH360075E	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Vascular Lab	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075F	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Mammography	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075G	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Surgery	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075H	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Endoscopy	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075J	Child	DSH	UH REGIONAL HOSPITALS	UH WARRENSVILLE OPT & NEURO REHAB - Physical Therapy	4480 RICHMOND RD	WARRENSVILLE HEIGHTS	OH	Terminated
DSH360075K	Child	DSH	UH REGIONAL HOSPITALS	UH WARRENSVILLE OPT & NEURO REHAB - Occupational Therapy	4480 RICHMOND RD	WARRENSVILLE HEIGHTS	OH	Terminated
DSH360075L	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Wound Care	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075M	Child	DSH	UH REGIONAL HOSPITALS	BEDFORD MEDICAL OFFICE BUILDING - HOPD Urology & Female Med	88 CENTER RD	BEDFORD	OH	Terminated
DSH360075N	Child	DSH	UH REGIONAL HOSPITALS	RICHMOND MEDICAL OFFICE BUILDING - Richmond Wellness	27155 CHARDON RD	RICHMOND HEIGHTS	OH	Terminated
DSH360075P	Child	DSH	UH REGIONAL HOSPITALS	UH WARRENSVILLE OPT & NEURO REHAB - Adult Speech	4480 RICHMOND RD	WARRENSVILLE HEIGHTS	OH	Terminated
DSH360075Q	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Anesthesia	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075R	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Cardiac Cath Lab	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075S	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Diagnostic Radiology	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075T	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Emergency	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075U	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Speech	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075V	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Urology/Gyn	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075W	Child	DSH	UH REGIONAL HOSPITALS	RICHMOND MEDICAL OFFICE BUILDING - HOPD Wound Center	27155 CHARDON RD	RICHMOND HEIGHTS	OH	Terminated
DSH360075X	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - Adult EKG	44 BLAINE AVE	BEDFORD	OH	Terminated
DSH360075Y	Child	DSH	UH REGIONAL HOSPITALS	UH REGIONAL HOSPITALS - MRI	44 BLAINE AVE	BEDFORD	OH	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	10/1/2021 12:01 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		7/13/2021 12:00:00 AM	7/15/2021 10:00 AM
Details	State	Update	Termination Request	Active	To Be Terminated	7/15/2021 10:00 AM
Terminations	Termination Date	Update	Termination Request		10/1/2021 12:00:00 AM	7/15/2021 10:00 AM
Terminations	Termination Effective Date	Update	Termination Request		7/13/2021 12:00:00 AM	7/15/2021 10:00 AM
Terminations	Termination Reason	Update	Termination Request		Business decision by the Covered Entity	7/15/2021 10:00 AM
Details	State	Update		Approved	Active	10/1/2020 12:01 AM
Contacts	Signed By	Insert	New Registration		Vehovec, Michael R. Corporate Controller UH 2167678729	7/20/2020 12:30 PM
Details	340B ID	Update	New Registration		DSH360075D	7/20/2020 12:30 PM
Details	Entity Subname	Update	New Registration	BEDFORD MEDICAL OFFICE BUILDING	BEDFORD MEDICAL OFFICE BUILDING - Urology Institute	7/20/2020 12:30 PM
Dates	Participating Approval Date	Update	New Registration		7/20/2020 12:30:50 PM	7/20/2020 12:30 PM
Details	State	Update	New Registration	Pending	Approved	7/20/2020 12:30 PM
Dates	Signed By Date	Update	New Registration		7/13/2020 3:45:44 PM	7/20/2020 12:30 PM
Dates	Start Date	Update	New Registration		10/1/2020 12:00:00 AM	7/20/2020 12:30 PM
Addresses	Main Address	Insert	New Registration		88 CENTER RD STE 360 BEDFORD, OH 44146-2711	7/13/2020 1:33 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	7/13/2020 1:33 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		7344190	7/13/2020 1:33 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		OH	7/13/2020 1:33 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1669562864	7/13/2020 1:33 PM
Contacts	Authorizing Official	Insert	New Registration		Vehovec, Michael R. Corporate Controller UH 2167678729	7/13/2020 1:33 PM
Contacts	Primary Contact	Insert	New Registration		Daniels, Dana SFA University Hospitals 2162860111	7/13/2020 1:33 PM
Details	Last Recertification Date	Insert	New Registration			7/13/2020 1:33 PM
Details	Grant Number	Insert	New Registration			7/13/2020 1:33 PM
Details	340B ID	Insert	New Registration			7/13/2020 1:33 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			7/13/2020 1:33 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			7/13/2020 1:33 PM
Details	Medicare Provider Number	Insert	New Registration		360075	7/13/2020 1:33 PM
Details	Entity Name	Insert	New Registration		UH REGIONAL HOSPITALS	7/13/2020 1:33 PM
Details	Program Code	Insert	New Registration		DSH	7/13/2020 1:33 PM
Details	Entity Subname	Insert	New Registration		BEDFORD MEDICAL OFFICE BUILDING	7/13/2020 1:33 PM
Dates	Participating Approval Date	Insert	New Registration			7/13/2020 1:33 PM
Details	State	Insert	New Registration		Pending	7/13/2020 1:33 PM
Dates	Registration Date	Insert	New Registration		7/13/2020 1:33:27 PM	7/13/2020 1:33 PM
Dates	Signed By Date	Insert	New Registration			7/13/2020 1:33 PM
Dates	Start Date	Insert	New Registration			7/13/2020 1:33 PM
Terminations	Termination Comments	Insert	New Registration			7/13/2020 1:33 PM
Terminations	Termination Date	Insert	New Registration			7/13/2020 1:33 PM
Terminations	Termination Effective Date	Insert	New Registration			7/13/2020 1:33 PM
Terminations	Termination Reason	Insert	New Registration			7/13/2020 1:33 PM