340B Drug Pricing Program Database
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DSH360014F OBLENESS MEMORIAL HOSPITAL (Active)
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Main Details
Name
OBLENESS MEMORIAL HOSPITAL
Subdivision Name
Wound Care Center - Wound Care Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360014F
Medicare Provider Number
360014
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/10/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/24/2024
Last Recertification Date
Contacts
Authorizing Official
OhioHealth
Lee Ann Lucas-Helber, President
(740) 589-3510
Primary Contact
OhioHealth
Heidi Elizabeth Haldiman, Pharmacy Compliance Coordinator
(614) 566-0398
Addresses
Street Address
444 West Union Street
Suite D
Athens, OH 45701
Billing Address
OhioHealth Corporation
PO Box 9
Columbus, OH 43216
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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