340B Drug Pricing Program Database
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DSH360003AU University of Cincinnati Medical Center LLC (Terminated)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
ORTHO CLINIC-EASTSIDE
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003AU
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
8/26/2021
Termination Date
Termination Reason
10/1/2022
Business decision by the Covered Entity
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
Sue Ann Janson, 340B Medication Program Manager
(513) 585-7008
Addresses
Street Address
7981 BEECHMONT AVE
CINCINNATI, OH 45255
Billing Address
UC HEALTH
3200 BURNET AVE
ATTN: 3 EAST, AP
CINCINNATI, OH 45229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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