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DSH360152A OHIOHEALTH CORPORATION DBA DOCTORS (Terminated)
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Main Details
Name
OHIOHEALTH CORPORATION DBA DOCTORS
Subdivision Name
Victorian Village Imaging
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360152A
Medicare Provider Number
360152
Outpatient Facility Provider Number
360152
Additional Details
Current Program Status
Terminated
Registration Date
5/14/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/28/2012
Last Recertification Date
8/18/2016
Termination Date
Termination Reason
1/1/2017
Site closure
Contacts
Authorizing Official
OhioHealth
Brian Mccallister, Director of Finance
(614) 544-4154
Primary Contact
OhioHealth
Jeffrey Cook, Director of Pharmacy
(614) 566-9054
Addresses
Street Address
1132 Hunter Avenue
Columbus, OH 43201
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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