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DSH360137AB UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Subdivision Name
UH Minoff Health Center Neurology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360137AB
Medicare Provider Number
360137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/10/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/25/2022
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
University Hospitals
Tricia L Bires, Vice President, Treasury
(216) 767-8708
Primary Contact
University Hospitals Health System
Ryan Rosenthal, Manager of Reimbursement
(216) 767-8138
Addresses
Street Address
3909 Orange Pl, STE 2300A
Orange Village, OH 44122-4478
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2017, terminated 1/1/2018. Reinstated 10/1/2022.
08/24/2022
April 2025
April 2025
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