340B Drug Pricing Program Database
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DSH360003DM University of Cincinnati Medical Center LLC (Active)
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Main Details
Name
University of Cincinnati Medical Center LLC
Subdivision Name
CLINIC - NEUROLOGY -GENERAL NEUROLOGY HOSPITAL BASED CLINIC WCH
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360003DM
Medicare Provider Number
360003
Outpatient Facility Provider Number
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
8/23/2024
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
7690 Discovery Drive
Suite 2100, 3500
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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