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DSH140119M RUSH UNIVERSITY MEDICAL CENTER (Active)
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Main Details
Name
RUSH UNIVERSITY MEDICAL CENTER
Subdivision Name
Gynecological Oncology Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140119M
Medicare Provider Number
140119
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2012
Participating Start Date
10/1/2012
Participating Approval Date
8/17/2012
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Rush University Medical Center
Patricia Steeves ONeil, CFO
(312) 942-5647
Primary Contact
Health Delivery Management, L.L.C.
Matthew Kemper, Director, Clinical Operations
(312) 563-2326
Addresses
Street Address
1520 West Harrison Street
5th Floor
Chicago, IL 60607
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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