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DSH360085BX THE OHIO STATE UNIVERSITY HOSPITAL (Active)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
MCCAMPBELL HALL / Burn Clinic -McCampbell
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085BX
Medicare Provider Number
360085
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/3/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/4/2021
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
1581 DODD DR
COLUMBUS, OH 43210-1257
Billing Address
OSUMC Accounts Payable Department
660 Ackerman Road
PO Box 183104
Columbus, OH 43218-3104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2016; Terminated 7/1/2019; Reinstated 4/1/2021.
03/03/2021
May 2025
May 2025
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