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DSH360137W UNIVERSITY HOSPITALS OF CLEVELAND (Terminated)
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Main Details
Name
UNIVERSITY HOSPITALS OF CLEVELAND
Subdivision Name
UH Sharon Health Center / MRI Mobile
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360137W
Medicare Provider Number
360137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/17/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/26/2017
Last Recertification Date
9/1/2020
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
UH
Michael R. Vehovec, Corporate Controller
(216) 767-8729
Primary Contact
University Hospitals
Dana Daniels, SFA
(216) 286-0111
Addresses
Street Address
5133 RIDGE RD 2
STE 2
Sharon Center, OH 44274-8078
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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