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DSH360012N ST. ANN'S HOSP OF COLUMBUS INC, (Terminated)
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Main Details
Name
ST. ANN'S HOSP OF COLUMBUS INC,
Subdivision Name
WEDGEWOOD WOMEN'S HEALTH
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360012N
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
11/7/2017
Termination Date
Termination Reason
10/1/2018
Site closure
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
10330 SAWMILL PARKWAY
SUITE 500
POWELL, OH 43065-7795
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
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