340B Drug Pricing Program Database
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DSH370037AX SSM ST ANTHONY HOSPITAL (Active)
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Main Details
Name
SSM ST ANTHONY HOSPITAL
Subdivision Name
SAPO MED ONC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH370037AX
Medicare Provider Number
370037
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2022
Participating Start Date
1/1/2023
Participating Approval Date
11/8/2022
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
1011 N Dewey Ave
Suite 300
OKLAHOMA CITY, OK 73102
Billing Address
SSM ST ANTHONY HOSPITAL
1000 N Lee Ave
Oklahoma City, OK 73102
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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