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DSH360137AV UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Subdivision Name
UH Parma Medical Center - Infusion Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360137AV
Medicare Provider Number
360137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2021
Participating Start Date
10/1/2021
Participating Approval Date
8/18/2021
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
University Hospitals
Tricia L Bires, Vice President, Treasury
(216) 767-8708
Primary Contact
University Hospitals Health System
Ryan Rosenthal, Manager of Reimbursement
(216) 767-8138
Addresses
Street Address
7007 Powers Blvd
Medical Arts Center 3
Parma, OH 44129
Billing Address
University Hospitals of Cleveland
11100 Euclid Avenue
Cleveland, OH 44106
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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