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CAN100079-116 UNIVERSITY OF MIAMI HOSPITAL AND CLINICS (Terminated)
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Main Details
Name
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
Subdivision Name
UMH: PACU Unit - PACU Unit
Type
Free Standing Cancer Hospital
Rural
No
340B ID
CAN100079-116
Medicare Provider Number
100079
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2020
Participating Start Date
4/1/2020
Participating Approval Date
1/30/2020
Last Recertification Date
9/7/2021
Termination Date
Termination Reason
1/1/2022
Business decision by the Covered Entity
Contacts
Authorizing Official
University of Miami Hospital and Clinics
Kymberlee Manni, CEO
(305) 689-4515
Primary Contact
University of Miami Hospital and Clinics
Blanca Rivera, Associate Vice President, UHealth Pharmacy Services
(305) 689-5630
Addresses
Street Address
1400 NW 12th Avenue
Miami, FL 33136
Billing Address
UHealth Tower
1400 NW 12th Avenue
3023
Miami, FL 33136
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2018, terminated 10/1/2019. Reinstated 4/1/2020.
01/16/2020
April 2025
April 2025
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