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DSH360137BF UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER (Terminated)
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Main Details
Name
UNIVERSITY HOSPITALS CLEVELAND MEDICAL CENTER
Subdivision Name
UHCMC/MACDONALD WOMEN'S HOSPITAL
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360137BF
Medicare Provider Number
360137
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/4/2022
Last Recertification Date
9/2/2023
Termination Date
Termination Reason
1/1/2024
Business decision by the Covered Entity
Contacts
Authorizing Official
University Hospitals
Anthony James Schillero, Director, Financial Planning and Analysis
(216) 789-0429
Primary Contact
University Hospitals
Dana Daniels, SFA
(216) 286-0111
Addresses
Street Address
25001 Emery Rd, STE 125A
Cleveland, OH 44128
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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