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DSH140119AX RUSH UNIVERSITY MEDICAL CENTER (Active)
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Main Details
Name
RUSH UNIVERSITY MEDICAL CENTER
Subdivision Name
PULMONARY FUNCTION LABORATORY - PULMONARY FUNCTION LABORATORY
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH140119AX
Medicare Provider Number
140119
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/14/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/5/2023
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Rush University Medical Center
Patricia Steeves ONeil, CFO
(312) 942-5647
Primary Contact
Health Delivery Management, L.L.C.
Matthew Kemper, Director, Clinical Operations
(312) 563-2326
Addresses
Street Address
1520 W Harrison St
Chicago, IL 60607
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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