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DSH370093AT OU MEDICAL CENTER (Active)
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Main Details
Name
OU MEDICAL CENTER
Subdivision Name
SCC Radiology Special Procedures
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370093AT
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
800 NORTHEAST 10TH STREET
2ND FLOOR/1ST FLOOR
OKLAHOMA CITY, OK 73104-5004
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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