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DSH370093AC OU MEDICAL CENTER (Active)
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Main Details
Name
OU MEDICAL CENTER
Subdivision Name
OU Health Transplant Institute
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370093AC
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
Oliver Lackey, 340B Director
(405) 543-7101
Addresses
Street Address
920 NE 13th Street
OKLAHOMA CITY, OK 73104-5008
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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