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DSH490009 UNIVERSITY OF VIRGINIA MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF VIRGINIA MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490009
Medicare Provider Number
490009
Additional Details
Current Program Status
Active
Registration Date
3/3/2008
Participating Start Date
7/1/1993
Participating Approval Date
3/3/2008
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
UVA Health System
Brian Wilmoth, Strategic Planning and Reimbursement Officer
(434) 243-9802
Primary Contact
UVA Health System
Jordan T DeAngelis, Director Pharmacy
(434) 982-1950
Addresses
Street Address
1215 Lee Street
RECVG LANE RD-LOADING DOCK
CHARLOTTESVILLE, VA 22908
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/27/09 - DOC RECD TO CONFIRM ELIG DSH ADJ % 02/29/11 ADDED SHIP TO ADDR.
03/01/2011
May 2025
May 2025
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