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DSH360037 ST. VINCENT CHARITY MEDICAL CENTER (Terminated)
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Main Details
Name
ST. VINCENT CHARITY MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360037
Medicare Provider Number
360037
Additional Details
Current Program Status
Terminated
Registration Date
9/14/2007
Participating Start Date
1/1/2001
Participating Approval Date
9/14/2007
Last Recertification Date
9/12/2022
Termination Date
Termination Reason
1/1/2023
Site closure
Contacts
Authorizing Official
St. Vincent Charity Medical Center
JOHN Rusnaczyk, CFO
(216) 363-7718 Ext: 37718
Primary Contact
SVCMC
Jasmine Siggers, 340B Coordinator
(216) 694-4629
Addresses
Street Address
2351 EAST 22ND STREET
CLEVELAND, OH 44115
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/13/12 UPDATED ENTITY NAME (WAS ST. VINCENT CHARITY HOSPITAL)
02/13/2012
April 2025
April 2025
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