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CAN100079-170 UNIVERSITY OF MIAMI HOSPITAL AND CLINICS (Active)
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Main Details
Name
UNIVERSITY OF MIAMI HOSPITAL AND CLINICS
Subdivision Name
ABLEH: Surgery - Surgery
Type
Free Standing Cancer Hospital
Rural
No
340B ID
CAN100079-170
Medicare Provider Number
100079
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2019
Participating Start Date
4/1/2019
Participating Approval Date
2/25/2019
Last Recertification Date
8/22/2024
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
900 NW 17th Street
Miami, FL 33136
Billing Address
ABLEH
900 NW 17th Street
509A
Miami, FL 33136
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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