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PED363302-00 UNIVERSITY HOSPITALS RAINBOW BABIES AND CHILDREN'S HOSPITAL (Active)
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Main Details
Name
UNIVERSITY HOSPITALS RAINBOW BABIES AND CHILDREN'S HOSPITAL
Subdivision Name
Type
Children's Hospital
Rural
No
340B ID
PED363302-00
Medicare Provider Number
363302
Additional Details
Current Program Status
Active
Registration Date
11/11/2009
Participating Start Date
11/13/2009
Participating Approval Date
11/13/2009
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
University Hospitals
Tricia L Bires, Vice President, Treasury
(216) 767-8708
Primary Contact
University Hospitals Health System
Ryan Rosenthal, Manager of Reimbursement
(216) 767-8138
Addresses
Street Address
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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