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DSH360003AY UNIVER.OF CINCINNATI MED CENTER LLC (Terminated)
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Main Details
Name
UNIVER.OF CINCINNATI MED CENTER LLC
Subdivision Name
Ortho Clinic
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003AY
Medicare Provider Number
360003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/21/2017
Last Recertification Date
Termination Date
Termination Reason
1/1/2018
Outpatient facility moved within the 4 walls of the parent hospital
Contacts
Authorizing Official
University of Cincinnati Medical Center LLC
RICK HINDS, Executive Vice President and Chief Financial Officer
(513) 585-8720
Primary Contact
University of Cincinnati Medical Center LLC
NANCY LOBAS, ASSISTANT DIRECTOR PHARMACY
(513) 584-8807
Addresses
Street Address
234 GOODMAN ST
CINCINNATI, OH 45219-2364
Billing Address
UC HEALTH
3200 BURNET AVE
ATTN: 3 RIDGEWAY, AP
CINCINNATI, OH 45229
Comments
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April 2025
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