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DSH360003BB University of Cincinnati Medical Center LLC (Terminated)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
HOSP BASED ARRHYTHMIA CENTER - CARDIOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003BB
Medicare Provider Number
360003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/23/2018
Last Recertification Date
9/6/2019
Termination Date
Termination Reason
4/1/2020
Other
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
3130 HIGHLAND AVE
CINCINNATI, OH 45219
Billing Address
UC HEALTH
3200 BURNET AVE
Attn: 3 Ridgeway, AP
CINCINNATI, OH 45229
Comments
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