| Contacts | Primary Contact | Update | Recertification | Daniels, Dana
SFA
University Hospitals
2162860111 | Rosenthal, Ryan
Manager of Reimbursement
University Hospitals Health System
2167678138 | 2/27/2025 11:04 AM |
| Details | Last Recertification Date | Update | Recertification | 2/7/2024 7:14:00 AM | 2/27/2025 11:04:06 AM | 2/27/2025 11:04 AM |
| Details | Assistance Received From Date | Update | Change Request | 4/1/2023 12:00:00 AM | 4/1/2024 12:00:00 AM | 6/25/2024 1:07 PM |
| Details | Assistance Received To Date | Update | Change Request | 3/31/2024 12:00:00 AM | 3/31/2025 12:00:00 AM | 6/25/2024 1:07 PM |
| Contacts | Authorizing Official | Update | AO Change Request | Schillero, Anthony James
Director, Financial Planning and Analysis
University Hospitals
2167890429 | Bires, Tricia L
Vice President, Treasury
University Hospitals
2167678708 | 5/31/2024 12:58 PM |
| Details | Assistance Received From Date | Update | Recertification | 4/1/2022 12:00:00 AM | 4/1/2023 12:00:00 AM | 2/7/2024 7:14 AM |
| Details | Assistance Received To Date | Update | Recertification | 3/31/2023 12:00:00 AM | 3/31/2024 12:00:00 AM | 2/7/2024 7:14 AM |
| Details | Last Recertification Date | Update | Recertification | 2/14/2023 3:59:17 PM | 2/7/2024 7:14:00 AM | 2/7/2024 7:14 AM |
| Details | NOFO Number | Update | | HRSA-22-014 | | 12/16/2023 10:34 AM |
| Details | Assistance Received From Date | Update | Recertification | 4/1/2021 12:00:00 AM | 4/1/2022 12:00:00 AM | 2/14/2023 3:59 PM |
| Details | Assistance Received To Date | Update | Recertification | 3/31/2022 12:00:00 AM | 3/31/2023 12:00:00 AM | 2/14/2023 3:59 PM |
| Details | Last Recertification Date | Update | Recertification | 2/4/2022 10:30:14 AM | 2/14/2023 3:59:17 PM | 2/14/2023 3:59 PM |
| Details | NOFO Number | Update | Recertification | HRSA-18-004 | HRSA-22-014 | 2/14/2023 3:59 PM |
| Contacts | Authorizing Official | Update | Change Request | Vehovec, Michael R.
Corporate Controller
UH
2167678729 | Schillero, Anthony James
Director, Financial Planning and Analysis
University Hospitals
2167890429 | 11/30/2022 8:05 AM |
| Details | Last Recertification Date | Update | Recertification | 2/18/2021 5:54:34 PM | 2/4/2022 10:30:14 AM | 2/4/2022 10:30 AM |
| Addresses | Shipping Address | Delete | Change Request | UH Bolwell Health Center Pharmacy
11100 Euclid Ave
Wearn 5063
Cleveland, OH 44106 | | 1/24/2022 9:58 AM |
| Details | Assistance Received From Date | Update | Change Request | 4/1/2020 12:00:00 AM | 4/1/2021 12:00:00 AM | 1/24/2022 9:58 AM |
| Details | Assistance Received To Date | Update | Change Request | 3/31/2021 12:00:00 AM | 3/31/2022 12:00:00 AM | 1/24/2022 9:58 AM |
| Details | Assistance Received From Date | Update | Recertification | | 4/1/2020 12:00:00 AM | 2/18/2021 5:54 PM |
| Details | Assistance Received To Date | Update | Recertification | | 3/31/2021 12:00:00 AM | 2/18/2021 5:54 PM |
| Details | Last Recertification Date | Update | Recertification | 1/28/2020 7:13:36 AM | 2/18/2021 5:54:34 PM | 2/18/2021 5:54 PM |
| Details | NOFO Number | Update | Recertification | | HRSA-18-004 | 2/18/2021 5:54 PM |
| Details | Last Recertification Date | Update | Recertification | 2/12/2019 9:27:29 AM | 1/28/2020 7:13:36 AM | 1/28/2020 7:13 AM |
| Details | Last Recertification Date | Update | Recertification | 2/8/2018 8:27:12 AM | 2/12/2019 9:27:29 AM | 2/12/2019 9:27 AM |
| Addresses | Main Address | Update | Change Request |
2061 Cornell Road
111
CLEVELAND, OH 44106 |
2061 Cornell Road
Suite 111
CLEVELAND, OH 44106 | 1/10/2019 3:32 PM |
| Addresses | Billing Address | Insert | Change Request | | University Hospitals Cleveland Medical Center
11100 Euclid Ave
Cleveland, OH 44106 | 10/15/2018 2:31 PM |
| Addresses | Shipping Address | Insert | Change Request | | UH Bolwell Health Center Pharmacy
11100 Euclid Ave
Wearn 5063
Cleveland, OH 44106 | 10/15/2018 2:31 PM |
| Addresses | Main Address | Update | Change Request |
11100 EUCLID AVENUE
CLEVELAND, OH 44106 |
2061 Cornell Road
111
CLEVELAND, OH 44106 | 10/15/2018 2:31 PM |
| Contacts | Primary Contact | Update | Change Request | Gripshover, Barbara
Medical Director
University Hospitals of Cleveland
2168445876 | Daniels, Dana
SFA
University Hospitals
2162860111 | 10/1/2018 8:45 AM |
| Contacts | Authorizing Official | Update | Change Request | Simon, Dan
President, UH Cleveland Medical Center
University Hospitals Cleveland Medical Center
2168446217 | Vehovec, Michael R.
Corporate Controller
UH
2167678729 | 9/27/2018 4:33 PM |
| Details | Last Recertification Date | Update | Recertification | 2/2/2017 12:00:00 AM | 2/8/2018 8:27:12 AM | 2/8/2018 8:27 AM |
| Details | Entity Name | Update | Recertification | UNIVERSITY HOSPITALS OF CLEVELAND | UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER | 2/8/2018 8:27 AM |
| Contacts | Primary Contact | Update | | Gripshover, Barbara
Medical Director
2168445876 | Gripshover, Barbara
Medical Director
University Hospitals of Cleveland
2168445876 | 1/24/2018 2:54 PM |
| Contacts | Authorizing Official | Update | | Simon, Dan
President, UH Cleveland Medical Center
2168446217 | Simon, Dan
President, UH Cleveland Medical Center
University Hospitals Cleveland Medical Center
2168446217 | 1/11/2018 4:16 PM |
| Contacts | Primary Contact | Update | | Gripshover, Barbara
Medical Director
2168445876 | Gripshover, Barbara
Medical Director
2168445876 | 7/26/2017 1:31 PM |
| Contacts | Authorizing Official | Update | | Rothstein, Fred
President, UH Case Medical Center
2168446217 | Simon, Dan
President, UH Cleveland Medical Center
2168446217 | 2/2/2017 11:56 AM |
| Addresses | Main Address | Insert | | |
11100 EUCLID AVENUE
CLEVELAND, OH 44106 | 2/2/2017 11:55 AM |
| Details | Last Recertification Date | Update | | 2/22/2016 12:00:00 AM | 2/2/2017 12:00:00 AM | 2/2/2017 11:55 AM |
| Details | Last Recertification Date | Update | | 2/5/2015 12:00:00 AM | 2/22/2016 12:00:00 AM | 2/22/2016 11:39 AM |
| Contacts | Authorizing Official | Update | | Gripshover, Barbara
Director
2168445876 | Rothstein, Fred
President, UH Case Medical Center
2168446217 | 3/9/2015 7:48 AM |
| Contacts | Primary Contact | Update | | Gripshover, Barbara
Director
2168445876 | Gripshover, Barbara
Medical Director
2168445876 | 2/5/2015 8:39 AM |
| Details | Last Recertification Date | Update | | 2/12/2014 12:00:00 AM | 2/5/2015 12:00:00 AM | 2/5/2015 8:39 AM |
| Details | Last Recertification Date | Update | | 1/1/2013 12:00:00 AM | 2/12/2014 12:00:00 AM | 2/12/2014 11:28 AM |
| Details | Last Recertification Date | Update | | 10/1/2006 12:00:00 AM | 1/1/2013 12:00:00 AM | 12/9/2012 7:53 AM |
| Contacts | Authorizing Official | Insert | | | Gripshover, Barbara
Director
2168445876 | 9/26/2012 2:21 PM |
| Contacts | Primary Contact | Insert | | | Gripshover, Barbara
Director
2168445876 | 9/26/2012 2:21 PM |
| Details | Last Recertification Date | Insert | | | 10/1/2006 12:00:00 AM | 1/31/2003 12:00 AM |
| Details | Grant Number | Insert | | | H76HA00608 | 1/31/2003 12:00 AM |
| Details | 340B ID | Insert | | | HV44106 | 1/31/2003 12:00 AM |
| Details | Is Authorizing Official EHB Data | Insert | | | | 1/31/2003 12:00 AM |
| Dates | Last Date That 340B Drugs Purchased | Insert | | | | 1/31/2003 12:00 AM |
| Details | Medicare Provider Number | Insert | | | | 1/31/2003 12:00 AM |
| Details | Entity Name | Insert | | | UNIVERSITY HOSPITALS OF CLEVELAND | 1/31/2003 12:00 AM |
| Details | Program Code | Insert | | | HV | 1/31/2003 12:00 AM |
| Details | Entity Subname | Insert | | | JOHN T CAREY SPEC IMM UNIT | 1/31/2003 12:00 AM |
| Dates | Participating Approval Date | Insert | | | 1/1/2003 12:00:00 AM | 1/31/2003 12:00 AM |
| Details | State | Insert | | | Active | 1/31/2003 12:00 AM |
| Dates | Registration Date | Insert | | | 1/1/2003 12:00:00 AM | 1/31/2003 12:00 AM |
| Dates | Signed By Date | Insert | | | | 1/31/2003 12:00 AM |
| Dates | Start Date | Insert | | | 1/1/2003 12:00:00 AM | 1/31/2003 12:00 AM |
| Terminations | Termination Comments | Insert | | | | 1/31/2003 12:00 AM |
| Terminations | Termination Date | Insert | | | | 1/31/2003 12:00 AM |
| Terminations | Termination Effective Date | Insert | | | | 1/31/2003 12:00 AM |
| Terminations | Termination Reason | Insert | | | | 1/31/2003 12:00 AM |