340B Drug Pricing Program Database
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DSH360085FD THE OHIO STATE UNIVERSITY HOSPITAL (Terminated)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
RESPIRATORY THERAPY - PULM DIAGNOSTICS OSU EAST
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085FD
Medicare Provider Number
360085
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/15/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/30/2019
Last Recertification Date
8/28/2019
Termination Date
Termination Reason
4/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
The Ohio State University Hospital
Mark Larmore, Chief Financial Officer
(614) 685-9420
Primary Contact
Ohio State University
Robert Joseph Weber, Chief Pharmacy Officer
(614) 293-8470
Addresses
Street Address
181 Taylor Avenue
Tower 4th 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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