340B Drug Pricing Program Database
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DSH360048W UNIV OF TOLEDO MEDL CENTER (Active)
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Main Details
Name
UNIV OF TOLEDO MEDL CENTER
Subdivision Name
UT HEALTH PHYSICAL THERAPY & SPORTS - Regency Rehab
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360048W
Medicare Provider Number
360048
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2021
Participating Start Date
1/1/2022
Participating Approval Date
10/22/2021
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
University of Toledo Medical Center
Russell Wayne Smith, Senior Hospital Administrator
(419) 383-3788
Primary Contact
The University of Toledo Medical Center
Holiday Robin Caton, 340B Specialist
(419) 383-3609
Addresses
Street Address
1000 REGENCY CT 105
TOLEDO, OH 43623-3074
Billing Address
UNIV OF TOLEDO MEDL CENTER
2801 W. BANCROFT STREET
Toledo, OH 43606
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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