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DSH370037AP SSM ST ANTHONY HOSPITAL (Active)
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Main Details
Name
SSM ST ANTHONY HOSPITAL
Subdivision Name
SSM St. Anthony South Adolescent Treatment Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370037AP
Medicare Provider Number
370037
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2019
Participating Start Date
10/1/2019
Participating Approval Date
9/4/2019
Last Recertification Date
8/31/2024
Contacts
Authorizing Official
- SSM ST ANTHONY HOSPITAL
Shasta Manuel, VP of Finance CFO
(405) 272-7282
Primary Contact
SSM Health
Michelle Nicole Schmitt, Director of Business Operations
(608) 294-6203
Addresses
Street Address
2129 SW 59th Street
Oklahoma City, OK 73119
Billing Address
St. Anthony Hospital - Oklahoma City
1000 N Lee Ave
Oklahoma City, OK 73102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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