340B Drug Pricing Program Database
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DSH370093CP OU MEDICAL CENTER (Active)
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Main Details
Name
OU MEDICAL CENTER
Subdivision Name
OU HEALTH EDMOND GASTROENTEROLOGY - Gastroenterology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370093CP
Medicare Provider Number
370093
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
11/5/2024
Last Recertification Date
Contacts
Authorizing Official
OU Health
Krystal L Murer, Vice President | Ethics, Regulatory Affairs, and Chief Compliance Officer
(405) 271-8052
Primary Contact
OU Health
Oliver Lackey, 340B Director
(405) 543-7101
Addresses
Street Address
105 S BRYANT AVE
STE 210
EDMOND, OK 73034-6331
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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