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DSH490009AC UNIVERSITY OF VIRGINIA MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF VIRGINIA MEDICAL CENTER
Subdivision Name
Family Medicine Crossroads - 2369
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490009AC
Medicare Provider Number
490009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/1/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/3/2012
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
UVA Health System
Brian Wilmoth, Strategic Planning and Reimbursement Officer
(434) 243-9802
Primary Contact
UVA Health System
Danielle Griggs, Pharmacy Administrator
(434) 243-9802
Addresses
Street Address
4916 Plank Road
North Garden, VA 22959
Billing Address
UVA Health System
1215 Lee Street
Charlottesville, VA 22908
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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