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DSH360085KT THE OHIO STATE UNIVERSITY HOSPITAL (Approved)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
Tower 12 Ambulatory Care Clinic - VASCULAR SURG EAST ACC 12 - Vascular Surgery
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085KT
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
181 Taylor Ave
Tower 12th Fl
Columbus, OH 43203-1779
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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