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DSH360137BN UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Subdivision Name
UH Seidman Cancer Center at Mentor Health Center - SCC infusion Center - SCC Infusion
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360137BN
Medicare Provider Number
360137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/23/2025
Last Recertification Date
Contacts
Authorizing Official
University Hospitals
Tricia L Bires, Vice President, Treasury
(216) 767-8708
Primary Contact
University Hospitals
Dana Daniels, SFA
(216) 286-0111
Addresses
Street Address
9485 Mentor Ave, STE 3
Mentor, OH 44060
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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