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DSH360085KF THE OHIO STATE UNIVERSITY HOSPITAL (Active)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
Maternal Fetal Medicine at Outpatient Care East - MFM OUTPATIENT CARE EAST - Maternal Fetal Medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085KF
Medicare Provider Number
360085
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/11/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/23/2024
Last Recertification Date
Contacts
Authorizing Official
The Ohio State University Wexner Medical Center
Jay Martin Anderson, Chief Operating Officer
(614) 685-6740
Primary Contact
OSU Med Center
Trisha A Jordan, Chief Pharmacy Officer
(614) 293-9097
Addresses
Street Address
543 Taylor Ave
Columbus, OH 43203
Billing Address
OSUMC Accounts Payable Department
660 Ackerman Road
PO Box 183104
Columbus, OH 43218
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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