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DSH360137 UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360137
Medicare Provider Number
360137
Additional Details
Current Program Status
Active
Registration Date
10/27/2006
Participating Start Date
7/1/2004
Participating Approval Date
10/27/2006
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
University Hospitals
Tricia L Bires, Vice President, Treasury
(216) 767-8708
Primary Contact
University Hospitals Health System
Ryan Rosenthal, Manager of Reimbursement
(216) 767-8138
Addresses
Street Address
11100 EUCLID AVE.
CLEVELAND, OH 44106
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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7/22/09 - UPDATED BILLING ADDRESS (WAS 11100 EUCLID AVE, CLEVELAND OH 44106); 10/27/06 - BILLING ADDRESS ADDED; 10/3/07- ADDRESS CHANGE (WAS: 2044 ABINGTON ROAD, CLEVELAND, OH 44106)
07/22/2009
May 2025
May 2025
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