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DSH360085FB THE OHIO STATE UNIVERSITY HOSPITAL (Active)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
UHE WOUND CARE OUTPATIENT - WOUND CARE OSU EAST
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085FB
Medicare Provider Number
360085
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/14/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/8/2023
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
The Ohio State University Wexner Medical Center
Jay Martin Anderson, Chief Operating Officer
(614) 685-6740
Primary Contact
OSU Med Center
Trisha A Jordan, Chief Pharmacy Officer
(614) 293-9097
Addresses
Street Address
181 Taylor Avenue
Tower 9th Floor
Columbus, OH 43203
Billing Address
OSUMC Accounts Payable Department
660 Ackerman Road
PO Box 183104
Columbus, OH 43218
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 4/1/2019, Termination Date 10/1/2019, Reinstatement 4/1/2023
01/30/2023
May 2025
May 2025
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