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DSH360085BW THE OHIO STATE UNIVERSITY HOSPITAL (Active)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
OB/GYN CLINIC - OB/GYN MC - SHARED
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085BW
Medicare Provider Number
360085
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/8/2023
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
Ste 434
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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Participating Start Date 7/1/2016, Termination Date 10/1/2021, Reinstatement 4/1/2023
01/30/2023
May 2025
May 2025
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