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DSH140119J RUSH UNIVERSITY MEDICAL CENTER (Terminated)
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Main Details
Name
RUSH UNIVERSITY MEDICAL CENTER
Subdivision Name
Asthma Comprehensive Center Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140119J
Medicare Provider Number
140119
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/11/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/17/2012
Last Recertification Date
8/26/2019
Termination Date
Termination Reason
4/1/2020
Never implemented the 340B Program
Contacts
Authorizing Official
Rush University Medical Center
Patricia Steeves ONeil, CFO
(312) 942-5647
Primary Contact
Rush University Medical Center
Scott Sonnenschein, Vice President Hospital Operations
(312) 563-2093
Addresses
Street Address
1611 W. Harrison Street
Suite 550
Chicago, IL 60612
Billing Address
Rush University Medical Center
1653 W Congress Pkwy
Chicago, IL 60612
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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