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DSH360003F University of Cincinnati Medical Center LLC (Terminated)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
HOSP BASED RHEUMATOLOGY CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003F
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
9/10/2018
Termination Date
Termination Reason
1/1/2019
Site closure
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
NANCY LOBAS, ASSISTANT DIRECTOR PHARMACY
(513) 584-8807
Addresses
Street Address
3130 HIGHLAND
CINCINNATI, OH 45219
Billing Address
UC HEALTH
3200 BURNET AVE
ATTN: 3 RIDGEWAY, AP
CINCINNATI, OH 45229
Comments
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