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DSH370037X SSM ST ANTHONY HOSPITAL (Active)
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Main Details
Name
SSM ST ANTHONY HOSPITAL
Subdivision Name
St. Anthony Healthplex Mustang ED
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370037X
Medicare Provider Number
370037
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/17/2015
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
Michelle Nicole Schmitt, Director of Business Operations
(608) 294-6203
Addresses
Street Address
201 S Sara Road
Suite 100
Mustang, OK 73064-4303
Billing Address
St. Anthony Hospital - Oklahoma City
1000 N Lee Ave
Oklahoma City, OK 73102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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