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DSH370037AD SSM ST ANTHONY HOSPITAL (Active)
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Main Details
Name
SSM ST ANTHONY HOSPITAL
Subdivision Name
ST ANTHONY PHYSICIANS RHEUMATOLOGY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370037AD
Medicare Provider Number
370037
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/3/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/12/2017
Last Recertification Date
8/31/2024
Contacts
Authorizing Official
- SSM ST ANTHONY HOSPITAL
Shasta Manuel, VP of Finance CFO
(405) 272-7282
Primary Contact
SSM Health
Michelle Nicole Schmitt, Director of Business Operations
(608) 294-6203
Addresses
Street Address
13401 N WESTERN AVENUE
SUITE 210
OKLAHOMA CITY, OK 73114-1410
Billing Address
St. Anthony Hospital - Oklahoma City
1000 N Lee Ave
Oklahoma City, OK 73102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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