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DSH360017AQ GRANT MEDICAL CENTER (Active)
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Main Details
Name
GRANT MEDICAL CENTER
Subdivision Name
Radiation Oncology - Radiation Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH360017AQ
Medicare Provider Number
360017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/9/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/2/2023
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
OhioHealth
Jean Halpin, President
(614) 566-8952
Primary Contact
OhioHealth
Beth Prier, Director Pharmacy Operations
(614) 566-9249
Addresses
Street Address
303 E. Town Street
1200
Columbus, OH 43215
Billing Address
OhioHealth
P.O. Box 9
Columbus, OH 43216
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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