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DSH180141J UNIVERSITY OF LOUISVILLE HOSPITAL (Terminated)
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Main Details
Name
UNIVERSITY OF LOUISVILLE HOSPITAL
Subdivision Name
Bone Marrow Transplant Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180141J
Medicare Provider Number
180141
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/1/2015
Participating Start Date
10/1/2015
Participating Approval Date
7/15/2015
Last Recertification Date
Termination Date
Termination Reason
10/1/2015
Site closure
Contacts
Authorizing Official
University of Louisville Hospital
Steve Amsler, Senior Vice President of Operations
(502) 562-4122
Primary Contact
University of Louisville Hospital
Jessie Morgan, Outpatient Pharmacy Manager
(502) 562-6742
Addresses
Street Address
529 South Jackson Street
2nd Floor
Louisville, KY 40202
Billing Address
University of Louisville Hospital
530 South Jackson Street
Louisville, KY 40202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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