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CAN100079-41 UNIVERSITY OF MIAMI HOSPITAL AND CLINICS (Terminated)
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Main Details
Name
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
Subdivision Name
Ultrasound - Miami
Type
Free Standing Cancer Hospital
Rural
No
340B ID
CAN100079-41
Medicare Provider Number
100079
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/17/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/20/2016
Last Recertification Date
9/1/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
University of Miami Hospital and Clinics
Kymberlee Manni, CEO
(305) 689-4515
Primary Contact
University of Miami Hospital and Clinics
Blanca Rivera, Associate Vice President, UHealth Pharmacy Services
(305) 689-5630
Addresses
Street Address
1115 NW 14th Street
Miami, FL 33136
Billing Address
University of Miami Hospital and Clinics
1475 NW 12th Avenue
2080A
Miami, FL 33136
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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