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DSH100113H SHANDS TEACHING HOSPITAL AND CLINICS, INC. (Active)
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Main Details
Name
SHANDS TEACHING HOSPITAL AND CLINICS, INC.
Subdivision Name
UF Health Pain Management
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH100113H
Medicare Provider Number
100113
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
9/14/2007
Participating Start Date
10/11/2005
Participating Approval Date
9/14/2007
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
Shands Teaching Hospital & Clinics Inc
Traci d'Auguste, Chief Operating Officer
(352) 294-8661
Primary Contact
Shands Teaching Hospital & Clinics, Inc.
Thomas Johns, Associate Vice President, Operations
(352) 594-1321
Addresses
Street Address
720 SW 2nd Avenue
Suite 101
Gainesville, FL 32601
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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10/10/08 UPDATED ADDR (WAS 801 SW 2ND AVENUE);10/10/08 UPDATED SUBDIV NAME (WAS SHANDS AT AGH/AYERS SURGERY CENTER)
01/11/2010
May 2025
May 2025
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