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DSH490009CK UNIVERSITY OF VIRGINIA MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY OF VIRGINIA MEDICAL CENTER
Subdivision Name
Zion Crossroads Hub - 2574
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH490009CK
Medicare Provider Number
490009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/7/2015
Participating Start Date
4/1/2015
Participating Approval Date
3/10/2015
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
Carrie Kovacik, Pharmacy Manager
(434) 305-7613
Addresses
Street Address
1015 Spring Creek Parkway
Zions Crossroads, VA 22942
Billing Address
UVA Health System
1215 Lee Street
Charlottesville, VA 22908
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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