340B Drug Pricing Program Database
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DSH360003BM University of Cincinnati Medical Center LLC (Active)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
NEUROSURGERY CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003BM
Medicare Provider Number
360003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/23/2019
Last Recertification Date
8/22/2024
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
4100
CINCINNATI, OH 45219
Billing Address
UC Health
3200 Burnet Ave
Attn: 3 EAST, AP
Cincinnati, OH 45229
Comments
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