340B Drug Pricing Program Database
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DSH360003BN University of Cincinnati Medical Center LLC (Active)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
CARDIAC REHAB & WELLNESS CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003BN
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
222 PIEDMONT AVE
3000
CINCINNATI, OH 45219
Billing Address
UC Health
3200 Burnet Ave
Attn: 3 EAST, AP
CINCINNATI, OH 45229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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