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DSH360085 THE OHIO STATE UNIVERSITY HOSPITAL (Active)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085
Medicare Provider Number
360085
Additional Details
Current Program Status
Active
Registration Date
4/11/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/20/2016
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
The Ohio State University Wexner Medical Center
Jay Martin Anderson, Chief Operating Officer
(614) 685-6740
Primary Contact
OSU Med Center
Trisha A Jordan, Chief Pharmacy Officer
(614) 293-9097
Addresses
Street Address
410 W. 10th Avenue
COLUMBUS, OH 43210
Billing Address
OSUMC Accounts Payable Department
660 Ackerman Rd.
PO Box 183104
Columbus, OH 43218-3104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Previously participated 7/1/04 through 4/6/2013; reinstatement effective 7/1/2016.
05/20/2016
8/7/08-ADDED NPI; 8/30/07 - CHANGED MEDICAID # (WAS 36-0085); RE-INSTATE 7/04 - PARTICIPATED 12/92 - 10/94 AS DSH8394 6/23/10 ADDED SHIP TO ADDRESS
06/24/2010
8/7/08-ADDED NPI; 8/30/07 - CHANGED MEDICAID # (WAS 36-0085); RE-INSTATE 7/04 - PARTICIPATED 12/92 - 10/94 AS DSH8394 6/23/10 ADDED SHIP TO ADDRESS
06/24/2010
May 2025
May 2025
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