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CAN360242-00 OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL (Terminated)
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Main Details
Name
OHIO STATE UNIVERSITY JAMES CANCER HOSPITAL
Subdivision Name
Type
Free Standing Cancer Hospital
Rural
No
340B ID
CAN360242-00
Medicare Provider Number
360242
Additional Details
Current Program Status
Terminated
Registration Date
1/12/2018
Participating Start Date
4/1/2018
Participating Approval Date
2/6/2018
Last Recertification Date
8/24/2018
Termination Date
Termination Reason
1/1/2019
DSH percentage below statutory minimum
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
460 WEST 10TH AVENUE
COLUMBUS, OH 43210-1240
Billing Address
OSUMC Accounts Payable Department
660 Ackerman Rd.
PO Box 183104
Columbus, OH 43218-3104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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