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DSH360017S GRANT MEDICAL CENTER (Active)
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Main Details
Name
GRANT MEDICAL CENTER
Subdivision Name
PMH Emergency Department
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360017S
Medicare Provider Number
360017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2017
Participating Start Date
4/1/2017
Participating Approval Date
3/2/2017
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
OhioHealth
Jean Halpin, President
(614) 566-8952
Primary Contact
OhioHealth
Beth Prier, Director Pharmacy Operations
(614) 566-9249
Addresses
Street Address
1010 Refugee Road
Pickerington, OH 43147
Billing Address
OhioHealth
PO Box 9
Columbus, OH 43216
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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