340B Drug Pricing Program Database
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DSH360085JH THE OHIO STATE UNIVERSITY HOSPITAL (Terminated)
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Main Details
Name
THE OHIO STATE UNIVERSITY HOSPITAL
Subdivision Name
PHARMACIST CLINIC OUTPATIENT CARE GAHANNA HB - Neurology
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH360085JH
Medicare Provider Number
360085
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/13/2022
Participating Start Date
1/1/2023
Participating Approval Date
12/14/2022
Last Recertification Date
9/6/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
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
920 N Hamilton Rd
Ste 500
Gahanna, OH 43230
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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