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DSH360017BB GRANT MEDICAL CENTER (Active)
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Main Details
Name
GRANT MEDICAL CENTER
Subdivision Name
PMH - Labor and Delivery - PMH - Labor and Delivery
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360017BB
Medicare Provider Number
360017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/7/2025
Participating Start Date
4/1/2025
Participating Approval Date
2/27/2025
Last Recertification Date
Contacts
Authorizing Official
OhioHealth
Jean Halpin, President
(614) 566-8952
Primary Contact
OhioHealth
Beth Prier, Director Pharmacy Operations
(614) 566-9249
Addresses
Street Address
1010 Refugee Road
Pickerington, OH 43147-4314
Billing Address
OhioHealth
PO Box 9
Columbus, OH 43216
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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