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DSH360003DH University of Cincinnati Medical Center LLC (Active)
Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
CLINIC - INTERNAL MEDICINE -HEMATOLOGY ONCOLOGY HOSPITAL BASED CLINIC WCH
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360003DH
Medicare Provider Number
360003
Outpatient Facility Provider Number
Contacts
Authorizing Official
University of Cincinnati Medical Center LLC
RICK HINDS, Executive Vice President and Chief Financial Officer
(513) 585-8720
Primary Contact
University of Cincinnati Medical Center LLC
Sue Ann Janson, 340B Medication Program Coordinator
(513) 584-1392
Additional Details
Current Program Status
Active
Registration Date
10/12/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/1/2023
Last Recertification Date
Addresses
Street Address
7675 Wellness Way
Suite 201 & 202
West Chester, OH 45069
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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