340B Drug Pricing Program Database
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DSH360003CF University of Cincinnati Medical Center LLC (Active)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
PORT ROOM NURSES CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003CF
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
8/20/2024
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
FLOOR 2 & 3
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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