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DSH360012J ST. ANN'S HOSP OF COLUMBUS INC, (Terminated)
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Main Details
Name
ST. ANN'S HOSP OF COLUMBUS INC,
Subdivision Name
WESTAR REHAB & SPORTS MEDICINE / OP SPEECH THERAPY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360012J
Medicare Provider Number
360012
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/9/2015
Participating Start Date
1/1/2016
Participating Approval Date
10/26/2015
Last Recertification Date
8/22/2018
Termination Date
Termination Reason
10/1/2019
Never implemented the 340B Program
Contacts
Authorizing Official
Mount Carmel Health System
Nicholas Kreatsoulas, Executive Vice President & Chief Clinical Operations Officer
(614) 546-3266
Primary Contact
St. Ann's Hospital
Steve Ware, Reimbursement Manager
(614) 546-3290
Addresses
Street Address
444 NORTH CLEVELAND AVENUE
SUITE 310
WESTERVILLE, OH 43082-8390
Billing Address
MOUNT CARMEL HEALTH SYSTEM
6150 E BROAD ST
3RD FLOOR FINANCE - CFO
COLUMBUS, OH 43213
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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