340B Drug Pricing Program Database
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DSH360003N University of Cincinnati Medical Center LLC (Terminated)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
HOSP BASED NEPHROLOGY CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003N
Medicare Provider Number
360003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2013
Participating Start Date
4/1/2013
Participating Approval Date
3/8/2013
Last Recertification Date
8/26/2021
Termination Date
Termination Reason
10/1/2022
Other
Contacts
Authorizing Official
University of Cincinnati Medical Center LLC
RICK HINDS, Executive Vice President and Chief Financial Officer
(513) 585-8720
Primary Contact
University of Cincinnati Medical Center LLC
Sue Ann Janson, 340B Medication Program Manager
(513) 585-7008
Addresses
Street Address
222 PIEDMONT AVE
CINCINNATI, OH 45219
Billing Address
UC HEALTH
3200 BURNET AVE
ATTN: 3 EAST, AP
CINCINNATI, OH 45229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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