340B Drug Pricing Program Database
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DSH360085DE THE OHIO STATE UNIVERSITY HOSPITAL (Terminated)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
OHIO STATE UNIVERSITY HOSPITALS - JCSMI IMAGING
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085DE
Medicare Provider Number
360085
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
2/13/2018
Last Recertification Date
8/24/2018
Termination Date
Termination Reason
4/1/2019
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
2835 FRED TAYLOR DR
COLUMBUS, OH 43202-1552
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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