340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
RRC360180-390 CLEVELAND CLINIC HOSPITAL (Active)
Print
Main Details
Name
CLEVELAND CLINIC HOSPITAL
Subdivision Name
Hillcrest Atrium - Orthopaedic Surgery - HILLCREST ORTHOPAEDICS-OPA
Type
Rural Referral Center
Rural
Yes
340B ID
RRC360180-390
Medicare Provider Number
360180
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/11/2021
Participating Start Date
1/1/2022
Participating Approval Date
11/22/2021
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Cleveland Clinic Health System
Tim Longville, Chief Accounting Officer and Controller
(216) 636-7416
Primary Contact
Cleveland Clinic
Jonathan Williams, Senior Director of Pharmacy - 340B
(216) 444-8884
Addresses
Street Address
6770 MAYFIELD RD
310
MAYFIELD HTS, OH 44124
Billing Address
Cleveland Clinic
6801 Brecksville Road
Mail Code: RK1-25
Suite 20
Independence, OH 44131
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
November 2024
November 2024
week
S
M
T
W
T
F
S
44
27
28
29
30
31
1
2
45
3
4
5
6
7
8
9
46
10
11
12
13
14
15
16
47
17
18
19
20
21
22
23
48
24
25
26
27
28
29
30
49
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session