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DSH360012K ST. ANN'S HOSP OF COLUMBUS INC, (Active)
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Main Details
Name
ST. ANN'S HOSP OF COLUMBUS INC,
Subdivision Name
CLINICAL CARDIOVASCULAR SPECIALISTS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360012K
Medicare Provider Number
360012
Outpatient Facility Provider Number
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
8/16/2024
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
477 COOPER ROAD
SUITE 200
WESTERVILLE, OH 43081-8054
Billing Address
MOUNT CARMEL HEALTH SYSTEM
3100 Easton Square Place
Suite 300 - Finance
Columbus, OH 43219-6290
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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