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DSH360085CJ THE OHIO STATE UNIVERSITY HOSPITAL (Active)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
EAST N5 ORTHOPAEDICS INPT - EN5 - Observation
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085CJ
Medicare Provider Number
360085
Outpatient Facility Provider Number
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
9/4/2024
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
181 Taylor Avenue
Columbus, OH 43203
Billing Address
OSUMC Accounts Payable Department
660 Ackerman Road
PO Box 183104
Columbus, OH 43218
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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