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DSH490009D UNIVERSITY OF VIRGINIA MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF VIRGINIA MEDICAL CENTER
Subdivision Name
Outpatient Surgery Center - 2660
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490009D
Medicare Provider Number
490009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/3/2008
Participating Start Date
7/1/2005
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
Gilbert David Anderson, Pharmacy Specialist
(434) 566-9725
Addresses
Street Address
1204 West Main Street
CHARLOTTESVILLE, VA 22908
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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