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DSH360137E UNIVERSITY HOSPITALS OF CLEVELAND (Terminated)
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Main Details
Name
UNIVERSITY HOSPITALS OF CLEVELAND
Subdivision Name
UHCMC SCC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360137E
Medicare Provider Number
360137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
2/18/2011
Participating Start Date
4/1/2011
Participating Approval Date
3/2/2011
Last Recertification Date
11/17/2017
Termination Date
Termination Reason
7/1/2018
Never implemented the 340B Program
Contacts
Authorizing Official
UH
Michael R. Vehovec, Corporate Controller
(216) 767-8729
Primary Contact
University Hospitals
Dana Daniels, SFA
(216) 286-0111
Addresses
Street Address
13207 RAVENNA ROAD
CHARDON, OH 44024-7032
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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