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DSH360035BK MOUNT CARMEL HEALTH (Active)
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Main Details
Name
MOUNT CARMEL HEALTH
Subdivision Name
Emergency Department Franklinton
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360035BK
Medicare Provider Number
360035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/6/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/13/2018
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Mount Carmel Health System
Andrew Rawn Priday, Chief Financial Officer
(614) 546-4146
Primary Contact
Mount Carmel Health System
Terrance John Slavin, Regional Director of Reimbursement
(734) 343-3320
Addresses
Street Address
120 SOUTH GREEN STREET
COLUMBUS, OH 43222-1661
Billing Address
MOUNT CARMEL HEALTH SYSTEM
3100 Easton Square Place
Suite 300 - Finance
COLUMBUS, OH 43219-6290
Comments
Medicaid Billing
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Contract Pharmacies
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