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DSH360137BD UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (Active)
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Main Details
Name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Subdivision Name
UH Seidman Cancer Center at Mentor Health Center - Radiation Oncology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360137BD
Medicare Provider Number
360137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/6/2022
Participating Start Date
7/21/2022
Participating Approval Date
7/21/2022
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
9485 Mentor Ave, STE 3
Mentor, OH 44060
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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