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DSH370037 SSM HEALTH ST ANTHONY HOSPITAL - OKC (Active)
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Main Details
Name
SSM HEALTH ST ANTHONY HOSPITAL - OKC
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370037
Medicare Provider Number
370037
Additional Details
Current Program Status
Active
Registration Date
8/30/2006
Participating Start Date
10/1/2006
Participating Approval Date
8/30/2006
Last Recertification Date
8/31/2024
Contacts
Authorizing Official
- SSM ST ANTHONY HOSPITAL
Shasta Manuel, VP of Finance CFO
(405) 272-7282
Primary Contact
SSM Health
Nathan Przybysz, 340b Program Manager
(314) 989-2214
Addresses
Street Address
1000 North Lee Ave
OKLAHOMA CITY, OK 73102
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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2/8/12 UPDATED MAIN ADD ZIP (WAS 73101); 12/21/11 REMOVED MEDICAID # (WAS OK-100698540-A)
02/08/2012
12/21/11 REMOVED MEDICAID # (WAS OK-100698540-A)
12/21/2011
June 2025
June 2025
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