340B Drug Pricing Program Database
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DSH360003P University of Cincinnati Medical Center LLC (Active)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
OB/GYN PERINATOLOGY SERVICES
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003P
Medicare Provider Number
360003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/8/2013
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
University of Cincinnati Medical Center
Jeffrey Akers, VP Pharmacy Administration UC Health
(513) 585-8005
Primary Contact
University of Cincinnati Medical Center LLC
Sue Ann Janson, 340B Medication Program Manager
(513) 585-7008
Addresses
Street Address
3130 HIGHLAND AVE
1400
CINCINNATI, OH 45219
Billing Address
UC HEALTH
3200 BURNET AVE
ATTN: 3 EAST, AP
CINCINNATI, OH 45229
Comments
Medicaid Billing
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Contract Pharmacies
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