340B Drug Pricing Program Database
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DSH360003CM University of Cincinnati Medical Center LLC (Active)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
INTERNAL MEDICINE CRITICAL CARE - INTERVENTIONAL PULMONOLOGY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003CM
Medicare Provider Number
360003
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/17/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/2/2023
Last Recertification Date
8/22/2024
Contacts
Authorizing Official
University of Cincinnati Medical Center
Jeffrey Akers, VP Pharmacy Administration UC Health
(513) 585-8005
Primary Contact
University of Cincinnati Medical Center LLC
Sue Ann Janson, 340B Medication Program Manager
(513) 585-7008
Addresses
Street Address
3151 Bellevue Avenue
Suite E
Cincinnati, OH 45219
Billing Address
UC Health
3200 Burnet Ave
Attn: 3 East AP
Cincinnati, OH 45229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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