340B Drug Pricing Program Database
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DSH360003AV University of Cincinnati Medical Center LLC (Active)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
EMERGENCY MENTAL HEALTH SERVICES
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003AV
Medicare Provider Number
360003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2017
Participating Start Date
4/1/2017
Participating Approval Date
2/21/2017
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
University of Cincinnati Medical Center
Jeffrey Akers, VP Pharmacy Administration UC Health
(513) 585-8005
Primary Contact
University of Cincinnati Medical Center LLC
Sue Ann Janson, 340B Medication Program Manager
(513) 585-7008
Addresses
Street Address
3200 BURNET AVE
CINCINNATI, OH 45229
Billing Address
UC HEALTH
3200 BURNET AVE
ATTN: 3 EAST, AP
CINCINNATI, OH 45229
Comments
Medicaid Billing
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Contract Pharmacies
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