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DSH360035DU MOUNT CARMEL HEALTH (Active)
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Main Details
Name
MOUNT CARMEL HEALTH
Subdivision Name
MCGC Maternal Fetal Medicine - Maternal Fetal Medicine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360035DU
Medicare Provider Number
360035
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/5/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/3/2023
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Mount Carmel Health System
Andrew Rawn Priday, Chief Financial Officer
(614) 546-4146
Primary Contact
Mount Carmel Health System
Terrance John Slavin, Regional Director of Reimbursement
(734) 343-3320
Addresses
Street Address
5300 N Meadows Dr.
Grove City, OH 43123-2546
Billing Address
Mount Carmel Health System
3100 Easton Square Place
Suite 300 - Finance
Columbus, OH 43219-6290
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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