340B Drug Pricing Program Database
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DSH360003BE University of Cincinnati Medical Center LLC (Terminated)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
RADIOLOGY MAB
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003BE
Medicare Provider Number
360003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/10/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/12/2018
Last Recertification Date
9/8/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
University of Cincinnati Medical Center
Jeffrey Akers, VP Pharmacy Administration UC Health
(513) 585-8005
Primary Contact
University of Cincinnati Medical Center LLC
Sue Ann Janson, 340B Medication Program Manager
(513) 585-7008
Addresses
Street Address
3113 BELLEVUE AVENUE
CINCINNATI, OH 45219
Billing Address
UC Health
3200 Burnet Ave
Attn: 3 EAST, AP
CINCINNATI, OH 45229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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