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DSH360048J UNIV OF TOLEDO MEDL CENTER (Terminated)
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Main Details
Name
UNIV OF TOLEDO MEDL CENTER
Subdivision Name
DOWLING HALL - OP - Clinic - Parkinson
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360048J
Medicare Provider Number
360048
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/26/2018
Last Recertification Date
8/27/2020
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
University of Toledo Medical Center
Russell Wayne Smith, Senior Hospital Administrator
(419) 383-3788
Primary Contact
The University of Toledo Medical Center
Holiday Robin Caton, 340B Specialist
(419) 383-3609
Addresses
Street Address
1125 Hospital Dr
TOLEDO, OH 43614
Billing Address
UNIV OF TOLEDO MEDL CENTER
3000 Arlington Avenue
TOLEDO, OH 43614
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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