340B Drug Pricing Program Database
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DSH180040AC UofL Health -- Louisville (Active)
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Main Details
Name
UofL Health -- Louisville
Subdivision Name
Jewish Hospital Outpatient Care Center / PACU
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH180040AC
Medicare Provider Number
180040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/13/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/17/2015
Last Recertification Date
8/31/2024
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
225 Abraham Flexner Way
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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