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UNeHealth Information for Sponsors (Tax ID, etc)

Sponsors typically require information from sites for the purpose of setting up contract templates, vendor payment systems, etc. In most cases, they request this information from clinical coordinators, so it is important for coordinators to understand that the information for UNeHealth contracts is different than for UNMC contracts. Please share UNeHealth information for the following when working with an industry sponsor:

    CDAs (non-disclosure agreements) Clinical trial agreements involving investigational drugs or devices Master clinical trial agreements Compassionate use agreements Emergency use agreements PI-initiated clinical trial agreements Material transfer of drug related to patient-oriented research or compassionate use

    Exceptions: All new master clinical trial agreements will be through UNeHealth, but existing UNMC masters are still in use until they can be converted.

    UNeHealth Information
    Parties to Agreement UNeHealth and Board of Regents, acting by and behalf of the University of Nebraska Medical Center Indirect Rate 30% (From UNMC's Negotiated Rate for Industry-Sponsored Clinical Trials) Fringe Benefit Rate Standard UNMC Rates Legal Name UNeHealth Organization Type Non-profit ancillary organization of the University of Nebraska formed by UNMC, authorized by the Board of Regents Payee UNeHealth Payee Type UNeHealth is the fiscal arm of the University of Nebraska Medical Center for the conduct of clinical trials Financial Official Payment Address Linda Combs, BSBA
    Accounting Manager
    985090 Nebraska Medical Center
    Omaha, NE  68198-5090
    Phone:  402-559-5825
    email:  lvondras@unmc.edu
    or Craig Poole (cpoole@unmc.edu) EIN/Federal Tax ID 47-0771713 W-9

    UNeHealth W9 (Effective 1/1/22)
    Contact UNeHealth Contract Associate

    Contracting Address

    UNeHealth
    Attn: Chris Kratochvil, MD
    985331 Nebraska Medical Center
    Omaha,  NE  68198-5331

    Phone: 402-559-7614
    email:  unehealthdist@unmc.edu

    Human Subject Assurance Number FWA 00002939 NPI Number 1790042786
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