340B Drug Pricing Program Database
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DSH180040G UofL Health -- Louisville (Terminated)
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Main Details
Name
UofL Health -- Louisville
Subdivision Name
MEDICAL CENTER NORTH EAST
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180040G
Medicare Provider Number
180040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/8/2009
Participating Start Date
10/8/2009
Participating Approval Date
10/8/2009
Last Recertification Date
9/13/2020
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
University of Louisville Hospital
Steve Amsler, Senior Vice President of Operations
(502) 562-4122
Primary Contact
UofL Health
Robert Michael Fink, System Vice President, Pharmacy Services
(502) 562-3211
Addresses
Street Address
2401 TERRA CROSSING BOULEVARD
LOUISVILLE, KY 40245
Billing Address
Jewish Hospital
200 Abraham Flexner Way
Louisville, KY 40202-1818
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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