340B Drug Pricing Program Database
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RRC360180-487 CLEVELAND CLINIC HOSPITAL (Approved)
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Main Details
Name
CLEVELAND CLINIC HOSPITAL
Subdivision Name
Downtown Bldg C - NEUROLOGY PAIN - - MAIN CAMPUS CHRONIC PAIN INFUSION
Type
Rural Referral Center
Rural
Yes
340B ID
RRC360180-487
Medicare Provider Number
360180
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/16/2025
Last Recertification Date
Contacts
Authorizing Official
Cleveland Clinic Health System
Tim Longville, Chief Accounting Officer and Controller
(216) 636-7416
Primary Contact
Cleveland Clinic
Michael Marchionda, Program Administrator, 340B
(216) 316-8583
Addresses
Street Address
10524 EUCLID AVE
C21
CLEVELAND, OH 44106
Billing Address
Cleveland Clinic
6801 Brecksville Road
Mail Code: RK1-25
Suite 20
Independence, OH 44131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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