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DSH360012 ST. ANN'S HOSP OF COLUMBUS INC, (Active)
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Main Details
Name
ST. ANN'S HOSP OF COLUMBUS INC,
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360012
Medicare Provider Number
360012
Additional Details
Current Program Status
Active
Registration Date
10/9/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/26/2015
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Mount Carmel Health System
Andrew Rawn Priday, Chief Financial Officer
(614) 546-4146
Primary Contact
Mount Carmel Health System
Terrance John Slavin, Regional Director of Reimbursement
(734) 343-3320
Addresses
Street Address
500 SOUTH CLEVELAND AVE
WESTERVILLE, OH 43081-0000
Billing Address
MOUNT CARMEL HEALTH SYSTEM
3100 Easton Square Place
Suite 300 - CFO
COLUMBUS, OH 43219-6290
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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