340B Drug Pricing Program Database
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DSH180040AU UofL Health -- Lousiville (Terminated)
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Main Details
Name
UofL Health -- Lousiville
Subdivision Name
Medical Center Southwest / Neurodiagnostics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180040AU
Medicare Provider Number
180040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/6/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/17/2015
Last Recertification Date
8/29/2019
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
University of Louisville Hospital
Steve Amsler, Senior Vice President of Operations
(502) 562-4122
Primary Contact
UofL Health
Robert Michael Fink, System Vice President, Pharmacy Services
(502) 562-3211
Addresses
Street Address
9700 Stonestreet Road
Louisville, KY 40272
Billing Address
Jewish Hospital DBA STS Mary & Elizabeth Hospital
1850 Bluegrass Ave
Louisville, KY 40215
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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