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DSH370093AH OU MEDICAL CENTER (Active)
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Main Details
Name
OU MEDICAL CENTER
Subdivision Name
OU MEDICAL CENTER EDMOND - Edmond Endoscopy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370093AH
Medicare Provider Number
370093
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/4/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/20/2018
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
OU Health
Krystal L Murer, Vice President | Ethics, Regulatory Affairs, and Chief Compliance Officer
(405) 271-8052
Primary Contact
OU Health
Kaitlyn Weckhorst, 340B Manager
(405) 658-3226
Addresses
Street Address
ONE SOUTH BRYANT AVENUE
EDMOND, OK 73034-6309
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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