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DSH140119AG RUSH UNIVERSITY MEDICAL CENTER (Terminated)
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Main Details
Name
RUSH UNIVERSITY MEDICAL CENTER
Subdivision Name
Rush Univ Urology LF
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140119AG
Medicare Provider Number
140119
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2014
Participating Start Date
4/1/2014
Participating Approval Date
2/24/2014
Last Recertification Date
9/8/2023
Termination Date
Termination Reason
10/1/2024
Site closure
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
900 N Westmoreland Rd
Suite 226
Lake Forest, IL 60045
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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