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DSH360085GM THE OHIO STATE UNIVERSITY HOSPITAL (Terminated)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
HB OPHTHALMOLOGY POST ROAD - OPHTHALMOLOGY OCULOPLASTICS POST RD
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085GM
Medicare Provider Number
360085
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
3/3/2021
Participating Start Date
4/1/2021
Participating Approval Date
3/4/2021
Last Recertification Date
Termination Date
Termination Reason
10/1/2021
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
6435 Post Rd
Dublin, OH 43016
Billing Address
OSUMC Accounts Payable Department
660 Ackerman Road
PO Box 183104
Columbus, OH 43218-3104
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2019; Terminated 4/1/2020; Reinstated 4/1/2021.
03/03/2021
May 2025
May 2025
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