Covered Entity Details

CHC33660-01 OHIO STATE UNIVERSITY, THE (Active) - information as of 5/20/2025 11:39:04 PM

Main Details

Name

OHIO STATE UNIVERSITY, THE

Subdivision Name

OSU Total Health Care Center St. Vincent Family Services

Type

HRSA-Funded Health Center

Site ID

BPS-H80-034752

340B ID

CHC33660-01

Grant Number

H80CS33660

Additional Details

Current Program Status

Active

Registration Date

1/12/2023

Participating Start Date

4/1/2023

Participating Approval Date

1/12/2023

Last Recertification Date

2/28/2025

Contacts

Authorizing Official

Ohio State University, The
Candy Sue Rinehart, CEO
(614) 685-9994

Primary Contact

The Ohio State University Total Health and Wellness
Christopher Westrick, Clinical Pharmacist
(614) 685-9994

Addresses

Street Address

1490 E Main St
Columbus, OH 43205-2140

Billing Address
Same as Street Address

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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		1568173193

Shipping Addresses

Same as Street Address

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.

Grantee Sites

340B ID	340B Status	SiteId	Name	Sub Name	Address	City	State
CHC33660-00	Active	BPS-H80-029506	OHIO STATE UNIVERSITY, THE	Ohio State University Total Health Care Center (THCC)	181 Taylor Ave Ste 1203	Columbus	OH
CHC33660-01	Active	BPS-H80-034752	OHIO STATE UNIVERSITY, THE	OSU Total Health Care Center St. Vincent Family Services	1490 E Main St	Columbus	OH
CHC33660-02	Active	BPS-H80-036667	OHIO STATE UNIVERSITY, THE	Ohio State Total Health Health Care Center (THCC) Tower 15	181 Taylor Ave. STE 1501	COLUMBUS	OH
CHC33660-03	Active	BPS-H80-036995	OHIO STATE UNIVERSITY, THE	OSU THW at Outpatient Care East	543 Taylor Avenue FL 2	Columbus	OH
CHC33660-04	Approved	BPS-H80-039644	OHIO STATE UNIVERSITY, THE	OSU Total Health Care Center Rardin	2231 N High St	Columbus	OH

Grantee Sites Contract Pharmacies

340B ID	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Begin Date	Termination Date
CHC33660-00	THE OHIO STATE UNIVERSITY OUTPATIENT PHA	AT THE CCCT	460 W 10TH AVE RM L012	COLUMBUS	OH	43210	10/01/2020
CHC33660-00	THE OHIO STATE UNIVERSITY OUTPATIENT PHA	DOAN HALL	410 W 10TH AVE RM 111	COLUMBUS	OH	43210-1240	10/01/2020
CHC33660-00	THE OHIO STATE UNIVERSITY OUTPATIENT PHA	EAST HOSPITAL	181 TAYLOR AVE	COLUMBUS	OH	43203-1779	10/01/2020
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 06273	3015 E LIVINGSTON AVE	COLUMBUS	OH	43209-3047	01/01/2020
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 07113	3093 CLEVELAND AVE	COLUMBUS	OH	43224	01/01/2020	03/26/2025
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 07942	4617 E MAIN ST	WHITEHALL	OH	43213-3219	01/01/2020
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 06118	3583 E BROAD ST	COLUMBUS	OH	43213	07/01/2021	05/21/2022
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 07524	6266 GENDER ROAD	CANAL WINCHESTER	OH	43110-2042	07/01/2021
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 06981	1280 DEMOREST ROAD	COLUMBUS	OH	43204	07/01/2021
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 09540	4530 KENNY RD	COLUMBUS	OH	43220-3509	07/01/2021
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 01317	3445 S HIGH ST	COLUMBUS	OH	43207	07/01/2021
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 07525	2150 E DUBLIN GRANVILLE ROAD	COLUMBUS	OH	43229-3513	07/01/2021
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 06378	2770 W BROAD ST	COLUMBUS	OH	43204	07/01/2021
CHC33660-00	WALGREEN CO.	DBA: WALGREENS #21338	6300 E MAIN ST	REYNOLDSBURG	OH	43068	07/01/2021
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 09138	1162 HARRISBURG PIKE	COLUMBUS	OH	43223-2847	07/01/2021	02/28/2023
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 09093	5195 N HAMILTON RD	COLUMBUS	OH	43230-1313	07/01/2021
CHC33660-00	WALGREEN CO.	DBA: WALGREENS # 06119	7900 E BROAD STREET	BLACKLICK	OH	43004	07/01/2021
CHC33660-00	WALGREEN CO.	WALGREENS #09904	5383 CEMETERY RD.	HILLIARD	OH	43026-1502	07/01/2021
CHC33660-00	WALGREEN CO.	DBA: WALGREENS #10050	6201 E. BROAD STREET	COLUMBUS	OH	43213-5500	07/01/2021
CHC33660-00	Walgreens #21423	Walgreens Central Fill #21423	6275 Winchester Blvd	Canal WInchester	OH	43110-6537	01/01/2024

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Details	Last Recertification Date	Update	Recertification	2/2/2024 11:32:56 AM	2/28/2025 6:20:32 AM	2/28/2025 6:20 AM
Details	Entity Subname	Update	Recertification	Total Health and Wellness at St. Vincent Family Services	OSU Total Health Care Center St. Vincent Family Services	2/28/2025 6:20 AM
Details	Last Recertification Date	Update	Recertification		2/2/2024 11:32:56 AM	2/2/2024 11:32 AM
Details	State	Update		Approved	Active	4/1/2023 12:01 AM
Contacts	Signed By	Insert	New Registration		Rinehart, Candy Sue CEO Ohio State University, The 6146859994	1/12/2023 2:21 PM
Details	340B ID	Update	New Registration		CHC33660-01	1/12/2023 2:21 PM
Dates	Participating Approval Date	Update	New Registration		1/12/2023 2:21:57 PM	1/12/2023 2:21 PM
Details	State	Update	New Registration	Pending	Approved	1/12/2023 2:21 PM
Dates	Signed By Date	Update	New Registration		1/12/2023 1:09:00 PM	1/12/2023 2:21 PM
Dates	Start Date	Update	New Registration		4/1/2023 12:00:00 AM	1/12/2023 2:21 PM
Addresses	Main Address	Insert	New Registration		1490 E Main St Columbus, OH 43205-2140	1/12/2023 1:08 PM
Medicaid Billing	NPI: Number	Insert	New Registration		1568173193	1/12/2023 1:08 PM
Medicaid Billing	NPI: State	Insert	New Registration		OH	1/12/2023 1:08 PM
Contacts	Authorizing Official	Insert	New Registration		Rinehart, Candy Sue CEO Ohio State University, The 6146859994	1/12/2023 1:08 PM
Contacts	Primary Contact	Insert	New Registration		Westrick, Christopher Clinical Pharmacist The Ohio State University Total Health and Wellness 6146859994	1/12/2023 1:08 PM
Details	Assistance Received From Date	Insert	New Registration			1/12/2023 1:08 PM
Details	Assistance Received To Date	Insert	New Registration			1/12/2023 1:08 PM
Details	Last Recertification Date	Insert	New Registration			1/12/2023 1:08 PM
Details	Grant Number	Insert	New Registration		H80CS33660	1/12/2023 1:08 PM
Details	340B ID	Insert	New Registration			1/12/2023 1:08 PM
Details	Is Authorizing Official EHB Data	Insert	New Registration			1/12/2023 1:08 PM
Dates	Last Date That 340B Drugs Purchased	Insert	New Registration			1/12/2023 1:08 PM
Details	Medicare Provider Number	Insert	New Registration			1/12/2023 1:08 PM
Details	Entity Name	Insert	New Registration		OHIO STATE UNIVERSITY, THE	1/12/2023 1:08 PM
Details	NOFO Number	Insert	New Registration			1/12/2023 1:08 PM
Details	Program Code	Insert	New Registration		CH	1/12/2023 1:08 PM
Details	Entity Subname	Insert	New Registration		Total Health and Wellness at St. Vincent Family Services	1/12/2023 1:08 PM
Dates	Participating Approval Date	Insert	New Registration			1/12/2023 1:08 PM
Details	State	Insert	New Registration		Pending	1/12/2023 1:08 PM
Dates	Registration Date	Insert	New Registration		1/12/2023 1:08:57 PM	1/12/2023 1:08 PM
Dates	Signed By Date	Insert	New Registration			1/12/2023 1:08 PM
Dates	Start Date	Insert	New Registration			1/12/2023 1:08 PM
Terminations	Termination Comments	Insert	New Registration			1/12/2023 1:08 PM
Terminations	Termination Date	Insert	New Registration			1/12/2023 1:08 PM
Terminations	Termination Effective Date	Insert	New Registration			1/12/2023 1:08 PM
Terminations	Termination Reason	Insert	New Registration			1/12/2023 1:08 PM

340B Drug Pricing Program Database