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FQHCLA377 OHIO STATE UNIVERSITY, THE (Terminated)
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Main Details
Name
OHIO STATE UNIVERSITY, THE
Subdivision Name
Ohio State University Total Health and Wellness
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-020945
340B ID
FQHCLA377
Grant Number
LALCS31123
Additional Details
Current Program Status
Terminated
Registration Date
10/5/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/11/2018
Last Recertification Date
1/29/2019
Termination Date
Termination Reason
4/1/2020
Change of covered entity type (non-hospital)
Contacts
Authorizing Official
Ohio State University, The
Candy Sue Rinehart, CEO
(614) 685-9994
Primary Contact
The Ohio State University Total Health and Wellness
Christopher Westrick, Clinical Pharmacist
(614) 685-9994
Addresses
Street Address
181 Taylor Ave Ste 1203
Columbus, OH 43203
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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