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DSH360035BJ MOUNT CARMEL HEALTH (Active)
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Main Details
Name
MOUNT CARMEL HEALTH
Subdivision Name
Cardiac Nuclear Medicine Diley Ridge
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360035BJ
Medicare Provider Number
360035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/5/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Mount Carmel Health System
Andrew Rawn Priday, Chief Financial Officer
(614) 546-4146
Primary Contact
Mount Carmel Health System
Terrance John Slavin, Regional Director of Reimbursement
(734) 343-3320
Addresses
Street Address
7901 Diley Road
Suite 230
Canal Winchester, OH 43110
Billing Address
Mount Carmel Health System
3100 Easton Square Place
Suite 300 - Finance
Columbus, OH 43219-6290
Comments
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