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DSH360085KS THE OHIO STATE UNIVERSITY HOSPITAL (Approved)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
General Surgery at Uppe - PLASTIC SURGERY UPPER ARLINGTON - Plastic Surgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085KS
Medicare Provider Number
360085
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/11/2025
Participating Start Date
7/1/2025
Participating Approval Date
5/5/2025
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
1800 Zollinger Rd
3rd Floor West
UPPER ARLINGTON, OH 43221
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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May 2025
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