Covered Entity Details

CAN360242-23 OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL (Terminated) - information as of 5/9/2025 10:49:13 PM

Main Details

Name

OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL

Subdivision Name

OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - JAMES 300 - CHEMO

Type

Free Standing Cancer Hospital

Rural

340B ID

CAN360242-23

Medicare Provider Number

360242

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

1/12/2018

Participating Start Date

4/1/2018

Participating Approval Date

2/6/2018

Last Recertification Date

8/24/2018

Termination Date
Termination Reason

1/1/2019
DSH percentage below statutory minimum

Contacts

Authorizing Official

The Ohio State University Hospital
Mark Larmore, Chief Financial Officer
(614) 685-9420

Primary Contact

Ohio State University
Robert Joseph Weber, Chief Pharmacy Officer
(614) 293-8470

Addresses

Street Address

300W 10TH AVE
COLUMBUS, OH 43210-1280

Billing Address

OSUMC Accounts Payable Department
660 Ackerman Rd.
PO Box 183104
Columbus, OH 43218-3104

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
Yes

State	Medicaid Number	NPI Number
OH	0805990
		1124127683

Shipping Addresses

Shipping Address 1

OHIO STATE UNIVERSITY JAMES CANCER H
300 W 10th Ave
Room 233
Columbus, OH 43210

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAN360242-01	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - JAMES ANTICOAGULATION CLINIC	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-02	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - JAMES ANTICOAGULATION CLINIC	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-03	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - CHEMO	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-04	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - PET CT	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-05	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - EXAM	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-06	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - JAMES THORACIC CLINIC	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-07	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - LAB	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-08	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - MAMMOGRAPHY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-09	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - PM & R	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-10	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - VOICE & SWALLOWING CLINIC	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-11	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP 11 -- CHEMOTHERAPY	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-12	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - RADIOLOGY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-13	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - SURGICAL ONCOLOGY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-14	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - PLASTICS	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-15	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE GYN ONCOLOGY CENTER - JCMR - GYN ONC - CLINIC	3651 RIDGE MILL DRIVE	HILLIARD	OH	Terminated
CAN360242-16	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT UNIVERSITY HOSPITAL EAST - JAMESCARE EAST -- CHEMO	181 Taylor Ave	Columbus	OH	Terminated
CAN360242-17	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP LAB	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-18	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - GYNECOLOGY ONCOLOGY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-19	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - RADIATION ONCOLOGY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-20	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - SPEECH & LANGUAGE PATHOLOGY	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-21	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - PORT DRAW	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-22	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - RADIATION ONCOLOGY	300W 10TH AVE	COLUMBUS	OH	Terminated
CAN360242-23	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - JAMES 300 - CHEMO	300W 10TH AVE	COLUMBUS	OH	Terminated
CAN360242-24	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - JAMES 300 - THORACIC CLINIC	300W 10TH AVE	COLUMBUS	OH	Terminated
CAN360242-25	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - JAMES 300 - GU & UROLOGY CLINIC	300W 10TH AVE	COLUMBUS	OH	Terminated
CAN360242-26	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - ONCOLOGY REHABILITATION	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-27	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - JCSR EXAM	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-28	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP - SURVIVORSHIP CLINIC - PT	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-29	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - PET CT SCAN	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated
CAN360242-30	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT UNIVERSITY HOSPITAL EAST - JAMESCARE EAST -- EXAM	181 Taylor Ave	Columbus	OH	Terminated
CAN360242-31	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP 4 -- CUTANEOUS CLINIC	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-32	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OSU JAMESCARE AT MOREHOUSE PLAZA - MMMP 10 -- ENDOCRINE CLINIC	2050 KENNY RD	COLUMBUS	OH	Terminated
CAN360242-33	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - JAMES 300 - NEURO ONC CLINIC	300W 10TH AVE	COLUMBUS	OH	Terminated
CAN360242-34	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE GYN ONCOLOGY CENTER - JCMR - GYN ONC - CHEMO	3651 RIDGE MILL DRIVE	HILLIARD	OH	Terminated
CAN360242-35	Child	CAN	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	JAMESCARE COMPREHENSIVE BREAST CENT - SSCBC - MEDICAL ONCOLOGY	1145 OLENTANGY RIVER RD	COLUMBUS	OH	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	State	Update		To Be Terminated	Terminated	1/1/2019 12:05 AM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		11/28/2018 12:00:00 AM	11/30/2018 12:32 PM
Details	State	Update	Termination Request	Active	To Be Terminated	11/30/2018 12:32 PM
Terminations	Termination Date	Update	Termination Request		1/1/2019 12:00:00 AM	11/30/2018 12:32 PM
Terminations	Termination Effective Date	Update	Termination Request		11/29/2018 12:00:00 AM	11/30/2018 12:32 PM
Terminations	Termination Reason	Update	Termination Request		DSH percentage below statutory minimum	11/30/2018 12:32 PM
Addresses	Billing Address	Insert	Change Request		OSUMC Accounts Payable Department 660 Ackerman Rd. PO Box 183104 Columbus, OH 43218-3104	8/31/2018 10:48 AM
Details	Last Recertification Date	Update	Recertification		8/24/2018 2:32:09 PM	8/24/2018 2:32 PM
Details	Entity Name	Update	Change Request	OHIO STATE UNIVERSITY JAMES CANCER H	OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL	4/20/2018 7:26 AM
Addresses	Shipping Address	Insert	Change Request		OHIO STATE UNIVERSITY JAMES CANCER H 300 W 10th Ave Room 233 Columbus, OH 43210	3/13/2018 12:28 PM
Details	State	Update	Change Request	Approved	Active	3/13/2018 12:28 PM
Contacts	Signed By	Insert	New Registration		Larmore, Mark Chief Financial Officer The Ohio State University Hospital 6146859420	2/6/2018 2:49 PM
Details	340B ID	Update	New Registration		CAN360242-23	2/6/2018 2:49 PM
Details	Entity Subname	Update	New Registration	OHIO STATE UNIVERSITY ARTHUR G JAM	OHIO STATE UNIVERSITY ARTHUR G JAM - BSH - JAMES 300 - CHEMO	2/6/2018 2:49 PM
Dates	Participating Approval Date	Update	New Registration		2/6/2018 2:49:19 PM	2/6/2018 2:49 PM
Details	State	Update	New Registration	Pending	Approved	2/6/2018 2:49 PM
Dates	Signed By Date	Update	New Registration		1/12/2018 5:55:06 PM	2/6/2018 2:49 PM
Dates	Start Date	Update	New Registration		4/1/2018 12:00:00 AM	2/6/2018 2:49 PM
Addresses	Main Address	Insert	New Registration		300W 10TH AVE COLUMBUS, OH 43210-1280	1/12/2018 5:53 PM
Medicaid Billing	Medicaid: Is Primary	Insert	New Registration		False	1/12/2018 5:53 PM
Medicaid Billing	Medicaid: Number	Insert	New Registration		0805990	1/12/2018 5:53 PM
Medicaid Billing	Medicaid: State	Insert	New Registration		OH	1/12/2018 5:53 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1124127683	1/12/2018 5:53 PM
Contacts	Authorizing Official	Insert	New Registration		Larmore, Mark Chief Financial Officer The Ohio State University Hospital 6146859420	1/12/2018 5:53 PM
Contacts	Primary Contact	Insert	New Registration		Weber, Robert Joseph Chief Pharmacy Officer Ohio State University 6142938470	1/12/2018 5:53 PM
Details	Last Recertification Date	Insert	New Registration			1/12/2018 5:53 PM
Details	Grant Number	Insert	New Registration			1/12/2018 5:53 PM
Details	340B ID	Insert	New Registration			1/12/2018 5:53 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/12/2018 5:53 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/12/2018 5:53 PM
Details	Medicare Provider Number	Insert	New Registration		360242	1/12/2018 5:53 PM
Details	Entity Name	Insert	New Registration		OHIO STATE UNIVERSITY JAMES CANCER H	1/12/2018 5:53 PM
Details	Program Code	Insert	New Registration		CAN	1/12/2018 5:53 PM
Details	Entity Subname	Insert	New Registration		OHIO STATE UNIVERSITY ARTHUR G JAM	1/12/2018 5:53 PM
Dates	Participating Approval Date	Insert	New Registration			1/12/2018 5:53 PM
Details	State	Insert	New Registration		Pending	1/12/2018 5:53 PM
Dates	Registration Date	Insert	New Registration		1/12/2018 5:53:11 PM	1/12/2018 5:53 PM
Dates	Signed By Date	Insert	New Registration			1/12/2018 5:53 PM
Dates	Start Date	Insert	New Registration			1/12/2018 5:53 PM
Terminations	Termination Comments	Insert	New Registration			1/12/2018 5:53 PM
Terminations	Termination Date	Insert	New Registration			1/12/2018 5:53 PM
Terminations	Termination Effective Date	Insert	New Registration			1/12/2018 5:53 PM
Terminations	Termination Reason	Insert	New Registration			1/12/2018 5:53 PM