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DSH370037P SSM HEALTH ST ANTHONY HOSPITAL - OKC (Active)
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Main Details
Name
SSM HEALTH ST ANTHONY HOSPITAL - OKC
Subdivision Name
St. Anthony Family Medicine East
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370037P
Medicare Provider Number
370037
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/29/2014
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
3400 S. Douglas
Suite 200
OKLAHOMA CITY, OK 73150
Billing Address
St. Anthony Hospital - Oklahoma City
1000 N Lee Ave
Oklahoma City, OK 73102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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