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DSH360085BD THE OHIO STATE UNIVERSITY HOSPITAL (Terminated)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
CLINIC VASCULAR SURGERY UPPER ARLINGTON - VASCULAR SURG UPPER ARLINGTON
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085BD
Medicare Provider Number
360085
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/14/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/20/2016
Last Recertification Date
8/28/2020
Termination Date
Termination Reason
4/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
The Ohio State University Hospital
Mark Larmore, Chief Financial Officer
(614) 685-9420
Primary Contact
Ohio State University
Robert Joseph Weber, Chief Pharmacy Officer
(614) 293-8470
Addresses
Street Address
1800 Zollinger Rd
Ste 2080
Upper Arlington, OH 43221
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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