340B Drug Pricing Program Database


DSH150056KN INDIANA UNIVERSITY HEALTH INC (Active) - information as of 4/25/2025 8:34:40 PM

Main Details
INDIANA UNIVERSITY HEALTH INC
IU Health Adult Med-Surg - UH - ADULT MED-SURG COMBINATION UNIT - UNIVERSITY MPC
Disproportionate Share Hospital
No
DSH150056KN
150056


Additional Details
Active
4/12/2024
7/1/2024
5/30/2024
8/12/2024

Contacts

Indiana University Health
Jennifer M. Alvey, SVP & CFO
(317) 963-0213

IU Health, Inc.
Jennifer Ann Hatchett, Senior Financial Analyst
(317) 962-4243

Addresses

550 North University Blvd
Indianapolis, IN 46202

IU Health Methodist Hospital
1701 N. Senate Blvd
Indianapolis, IN 46202


  • Comments
  • Medicaid Billing
  • Shipping Addresses
  • Contract Pharmacies
  • Parent/Child
  • History
Comments
CommentLast Updated On 
No records to display.
Medicaid Billing

No
Shipping Addresses

IU Health University Pharmacy
550 North University Blvd
RM R077
Indianapolis, IN 46202
Parent/Child
340B IDHierarchyEntity TypeNameSub NameAddressCityState340B Status
DSH150056AChildDSHINDIANA UNIVERSITY HEALTH INCRiley Hospital for Children705 Riley Hospital DriveIndianapolisINTerminated
DSH150056AAChildDSHINDIANA UNIVERSITY HEALTH INCIndiana University Health Home Program (CAPD)8803 N. Meridian StreetIndianapolisINTerminated
DSH150056ABChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc-East6845 Rama DriveIndianapolisINActive
DSH150056ACChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc-East Lab6845 Rama DriveIndianapolisINActive
DSH150056ADChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc- East Radiology6845 Rama DriveIndianapolisINTerminated
DSH150056AEChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc-East Infusion6845 Rama DriveIndianapolisINActive
DSH150056AFChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc-East Rad/Onc6845 Rama DriveIndianapolisINTerminated
DSH150056AHChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc-South Lab1346 East County Line RdIndianapolisINTerminated
DSH150056AMChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Riley Emergency Services Dept1105 Wishard BlvdIndianapolisINActive
DSH150056ANChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Spring Mill Infusion10300 North Illinois StreetIndianapolisINTerminated
DSH150056APChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Operating Suites13000 East 136th StreetFishersINActive
DSH150056AQChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Pre-OP/PACU13000 East 136th StreetFishersINActive
DSH150056ARChildDSHINDIANA UNIVERSITY HEALTH INCIUH Saxony Medical Center Diagnostic Prep/Recovery13000 East 136th StreetFishersINActive
DSH150056ASChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr MRI13100 East 136th StreetFishersINActive
DSH150056ATChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Mammography13100 East 136th StreetFishersINActive
DSH150056AUChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Ultrasound13100 East 136th StreetFishersINActive
DSH150056AVChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr CT13100 East 136th StreetFishersINActive
DSH150056AWChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Nuclear Med13100 East 136th StreetFishersINActive
DSH150056AXChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Lab-Purchase Services13100 East 136th StreetFishersINTerminated
DSH150056AYChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Lab-Onsite13100 East 136th StreetFishersINTerminated
DSH150056AZChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Respiratory Therapy 13100 East 136th StreetFishersINTerminated
DSH150056BChildDSHINDIANA UNIVERSITY HEALTH INCUniversity Hospital550 North University BlvdIndianapolisINTerminated
DSH150056BAChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Physical Therapy13100 East 136th StreetFishersINTerminated
DSH150056BBChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Cath Lab13000 East 136th StreetFishersINActive
DSH150056BCChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Non-Invasive Cardio/Express Diagnostic13100 East 136th StreetFishersINTerminated
DSH150056BDChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Emergency Care13000 East 136th StreetFishersINActive
DSH150056BEChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Diagnostic Radiology13100 East 136th StreetFishersINActive
DSH150056BFChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc-Mobile PET10212 Lantern RoadFishersINActive
DSH150056BGChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiation Oncology535 Barnhill DriveIndianapolisINActive
DSH150056BHChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pulmonary Function Lab550 North University Blvd.IndianapolisINActive
DSH150056BJChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Diagnostic UH550 North University BlvdIndianapolisINActive
DSH150056BKChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Physical Therapy UH550 North University BlvdIndianapolisINTerminated
DSH150056BLChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Occupational Therapy / UH550 North University BlvdIndianapolisINTerminated
DSH150056BMChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Physical Therapy/RH705 Riley Hospital DriveIndianapolisINTerminated
DSH150056BNChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Occupational Therapy / RH705 Riley Hospital DriveIndianapolisINTerminated
DSH150056BPChildDSHINDIANA UNIVERSITY HEALTH INCIU Health IUSCC Infusion1030 W Michigan StIndianapolisINActive
DSH150056BQChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pul Function Peds705 Riley Hospital DriveIndianapolisINTerminated
DSH150056BRChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pul Sleep Disorder705 Riley Hospital DriveIndianapolisINTerminated
DSH150056BSChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pediatric Cardiology705 Riley Hospital DriveIndianapolisINTerminated
DSH150056BTChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology Diagnostic/RH705 Riley Hospital DriveIndianapolisINActive
DSH150056BUChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Path Stem Cell BMT550 North University BlvdIndianapolisINTerminated
DSH150056BVChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Blood Bank350 West 11th StreetIndianapolisINTerminated
DSH150056BWChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Path Hematopathology/Oncology535 Barnhill DriveIndianapolisINTerminated
DSH150056BXChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Phlebotomy350 West 11th StIndianapolisINTerminated
DSH150056BYChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Path Hematopathology350 W 11th StreetIndianapolisINTerminated
DSH150056BZChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Path Flow-Cytometry350 W 11th StIndianapolisINTerminated
DSH150056CChildDSHINDIANA UNIVERSITY HEALTH INCINDIANA UNIVERSITY HEALTH HOME CARE950 N. MERIDIAN STINDIANAPOLISINTerminated
DSH150056CAChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Path Chemistry350 W 11th StreetIndianapolisINTerminated
DSH150056CBChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Path Microbiology350 W 11th StIndianapolisINTerminated
DSH150056CCChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Path Cytopathology350 W 11th StIndianapolisINTerminated
DSH150056CDChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Respiratory Care Clinical UH550 N University BlvdIndianapolisINTerminated
DSH150056CEChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Respiratory Care Clinical RH705 Riley Hospital DrIndianapolisINTerminated
DSH150056CFChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pulmonary Rehabilitation1633 N Capitol AveIndianapolisINTerminated
DSH150056CGChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Sendout Testing350 W 11th StreetIndianapolisINTerminated
DSH150056CHChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Tissue Morphology350 W 11th StIndianapolisINTerminated
DSH150056CJChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Molecular Biology350 W 11th StreetIndianapolisINTerminated
DSH150056CKChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Neurophysiology355 W 16th StIndianapolisINTerminated
DSH150056CMChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Cardiovasular Testing1801 N Senate BlvdIndianapolisINTerminated
DSH150056CNChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Brownsburg Laboratory1375 N Green StBrownsburgINTerminated
DSH150056CPChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Nuclear Med-UH550 N University BlvdIndianapolisINActive
DSH150056CQChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Nuclear Med-RH705 Riley Hospital DrIndianapolisINActive
DSH150056CRChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Interventional-UH550 N University BlvdIndianapolisINActive
DSH150056CSChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Interventional-RH705 Riley Hospital DrIndianapolisINActive
DSH150056CTChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-CT-UH550 N University BlvdIndianapolisINActive
DSH150056CUChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-US-UH550 N University BlvdIndianapolisINActive
DSH150056CVChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Fluro-UH550 N University BlvdIndianapolisINActive
DSH150056CWChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-MRI-UH550 N University BlvdIndianapolisINActive
DSH150056CXChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-CT-RH705 Riley Hospital DrIndianapolisINActive
DSH150056CYChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-US-RH705 Riley Hospital DrIndianapolisINActive
DSH150056CZChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology PET-UH550 N University BlvdIndianapolisINActive
DSH150056DAChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Fluro-RH705 Riley Hospital DrIndianapolisINActive
DSH150056DBChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-MRI-RH705 Riley Hospital DrIndianapolisINActive
DSH150056DCChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Spring Mill Laboratory10300 North Illinois StreetIndianapolisINTerminated
DSH150056DDChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Eagle Highland Laboratory6850 Parkdale PlaceIndianapolisINTerminated
DSH150056DEChildDSHINDIANA UNIVERSITY HEALTH INCIU Health MMP East Laboratory9660 East Washington StIndianapolisINTerminated
DSH150056DFChildDSHINDIANA UNIVERSITY HEALTH INCIU Health MMP North Laboratory151 Pennsylvania PkwyIndianapolisINTerminated
DSH150056DGChildDSHINDIANA UNIVERSITY HEALTH INCIU Health MMP South Laboratory8830 South Meridian StIndianapolisINTerminated
DSH150056DHChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Physical Therapy Georgetown4880 Century Plaza DrIndianapolisINTerminated
DSH150056DJChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Physical Therapy Glendale2620 Kessler Blvd EastIndianapolisINTerminated
DSH150056DKChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Physical Therapy South8830 S Meridian StIndianapolisINTerminated
DSH150056DLChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Physical Therapy East9660 E Washington StIndianapolisINTerminated
DSH150056DMChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Physical Therapy West6850 Parkdale PlaceIndianapolisINTerminated
DSH150056DNChildDSHINDIANA UNIVERSITY HEALTH INCIU Health OT Adaptive Positioning EQ705 Riley Hospital DrIndianapolisINTerminated
DSH150056DPChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Robotic Rehabilitiation Center355 West 16th StIndianapolisINTerminated
DSH150056DQChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Operating Rooms / UH550 N University BlvdIndianapolisINActive
DSH150056DRChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Post Anes Care/ UH550 N University BlvdIndianapolisINActive
DSH150056DSChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Anesthesiology/UH550 N University BlvdIndianapolisINTerminated
DSH150056DTChildDSHINDIANA UNIVERSITY HEALTH INCIU Health POCU550 N University BlvdIndianapolisINActive
DSH150056DUChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Operating Rooms / RH705 Riley Hospital DrIndianapolisINActive
DSH150056DVChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Post Anes Care / RH705 Riley Hospital DrIndianapolisINActive
DSH150056DWChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Anesthesiology / RH705 Riley Hospital DrIndianapolisINTerminated
DSH150056DXChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Day Surgery / RH705 Riley Hospital DrIndianapolisINTerminated
DSH150056DYChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Renal Svc Incenter Dialysis550 N University BlvdIndianapolisINTerminated
DSH150056DZChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Home Hemodialysis Program8803 N MeridianIndianapolisINTerminated
DSH150056EAChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc-Fishers10212 Lantern RdFishersINActive
DSH150056EBChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc Fishers Lab10212 Lantern RdFishersINActive
DSH150056ECChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc Fishers Radiology10212 Lantern RdFishersINActive
DSH150056EDChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc Fishers Infusion10212 Lantern RdFishersINActive
DSH150056EEChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem/Onc Fishers Rad/Onc10212 Lantern RdFishersINActive
DSH150056EFChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Spring Mill Hem/Onc Med Clinic10300 North Illinois StreetIndianapolisINTerminated
DSH150056EGChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Gastroenterology550 N University BlvdIndianapolisINActive
DSH150056EHChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Orthotics705 Riley Hospital DrvIndianapolisINTerminated
DSH150056EJChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Speech TX13100 E 136th StFishersINTerminated
DSH150056EKChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Occupational TX13100 E 136th StFishersINTerminated
DSH150056ELChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Saxony Med Ctr Pulmonary Function13100 E 136th StFishersINTerminated
DSH150056EMChildDSHINDIANA UNIVERSITY HEALTH INCPoint of Care Testing Services350 W 11th StIndianapolisINTerminated
DSH150056ENChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Path Apheresis BMT550 North University BlvdIndianapolisINActive
DSH150056EPChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Card Electrocard Adult550 N University BlvdIndianapolisINTerminated
DSH150056EQChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Medicine Svc Cardiography550 N University BlvdIndianapolisINActive
DSH150056ERChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Genet Lab Medical Genetics350 W 11th StIndianapolisINTerminated
DSH150056ESChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Path Rapid Response Lab1701 N. Senate BlvdIndianapolisINTerminated
DSH150056ETChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Genet Lab Molecular Genetics350 W 11th StIndianapolisINTerminated
DSH150056EUChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Genet Lab Pediatric Biochem350 W 11th StIndianapolisINTerminated
DSH150056EVChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Path Lab Infectious Disease350 W 11th StIndianapolisINTerminated
DSH150056EYChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology Mammo UH550 N University BlvdIndianapolisINActive
DSH150056EZChildDSHINDIANA UNIVERSITY HEALTH INCIU Health O/P Care Clinics Adult550 N. University Blvd.IndianapolisINTerminated
DSH150056FBChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Riley Pain Clinic575 Riley Hospital DriveIndianapolisINActive
DSH150056FCChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Riley Infusion Center575 Riley Hospital DriveIndianapolisINActive
DSH150056FDChildDSHINDIANA UNIVERSITY HEALTH INCIU Health MSA 3705 Riley Hospital DriveIndianapolisINTerminated
DSH150056FEChildDSHINDIANA UNIVERSITY HEALTH INCIU Health MSA 2705 Riley Hospital DrIndianapolisINTerminated
DSH150056FFChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Physical Medicine & Rehabilitation575 Riley Hospital DriveIndianapolisINActive
DSH150056FGChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Surgery MSA705 Riley Hospital DriveIndianapolisINTerminated
DSH150056FHChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pulmonary MSA705 Riley Hospital DrvIndianapolisINTerminated
DSH150056FJChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Ophthamology Pediatric Service705 Riley Hospital DrIndianapolisINTerminated
DSH150056FKChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Amb Svc Motility Lab575 Riley Hospital DriveIndianapolisINActive
DSH150056FLChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Urology Clinic RH705 Riley Hospital DrIndianapolisINTerminated
DSH150056FMChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Children's Continence Center575 Riley Hospital DriveIndianapolisINActive
DSH150056FNChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Urology-RH705 Riley Hospital DrIndianapolisINActive
DSH150056FPChildDSHINDIANA UNIVERSITY HEALTH INCIU Health IUMG Primary Care550 N University BlvdIndianapolisINActive
DSH150056FQChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Orthopedics UH550 N University BlvdIndianapolisINTerminated
DSH150056FRChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Urology Clinic UH535 Barnhill DriveIndianapolisINActive
DSH150056FSChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Amb Svc OP Surgery550 N University BlvdIndianapolisINActive
DSH150056FTChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Amb Svc Pain Clinic550 N University BlvdIndianapolisINActive
DSH150056FUChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Amb Svc HEM/ONC/BMT/Infusion1030 W Michigan StreetIndianapolisINActive
DSH150056FVChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Amb Svc Opthalmology Cl1160 W MichiganIndianapolisINActive
DSH150056FWChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Amb Svc OB & GYN-UH550 N University BlvdIndianapolisINActive
DSH150056FXChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Amb Svc OB Ultrasound UH550 N University BlvdIndianapolisINTerminated
DSH150056FYChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Amb Svc Med Diag Ctr MADC550 N University BlvdIndianapolisINActive
DSH150056FZChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Vascular Diag Center UH550 N University BlvdIndianapolisINTerminated
DSH150056GAChildDSHINDIANA UNIVERSITY HEALTH INCIU Health IUSCC Multidisciplinary Clinic535 N Barnhill DrIndianapolisINActive
DSH150056GBChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Cancer Pavilion Hem/Women1030 W Michigan StIndianapolisINActive
DSH150056GCChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Dermatology Clinic550 N UniversityIndianapolisINActive
DSH150056GDChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Riley Renal Dialysis575 Riley Hospital DriveIndianapolisINActive
DSH150056GEChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Amb Svcs Peds Neurology705 Riley Hospital DrIndianapolisINTerminated
DSH150056GFChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Riley / IU Neurophysiology705 Riley Hospital DrIndianapolisINTerminated
DSH150056GGChildDSHINDIANA UNIVERSITY HEALTH INCSaxony Med Ctr Neuro Diagnostic Unit13100 East 136th StFishersINTerminated
DSH150056GHChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Transplant Immunology1812 N Capitol AveIndianapolisINTerminated
DSH150056GJChildDSHINDIANA UNIVERSITY HEALTH INCRiley OP Burn Clinic705 Riley Hospital DriveIndianapolisINActive
DSH150056GKChildDSHINDIANA UNIVERSITY HEALTH INCIU HEALTH BRAIN TUMOR AND INFUSION355 W 16TH STREETINDIANAPOLISINActive
DSH150056GLChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Surgical Services2209 John R Wooden DriveMartinsvilleINActive
DSH150056GMChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Emergency Department / Observation Unit2209 John R Wooden DriveMartinsvilleINActive
DSH150056GNChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Speech Therapy2209 John R Wooden DriveMartinsvilleINTerminated
DSH150056GPChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Physical Therapy2209 John R Wooden DriveMartinsvilleINTerminated
DSH150056GQChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Occupational Therapy2209 John R Wooden DriveMartinsvilleINTerminated
DSH150056GRChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan EKG2209 John R Wooden DriveMartinsvilleINTerminated
DSH150056GSChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Cardiac Rehab2209 John R Wooden DriveMartinsvilleINTerminated
DSH150056GTChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Oncology Infusion2209 John R Wooden DriveMartinsvilleINActive
DSH150056GUChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan CT SCAN2209 John R Wooden DriveMartinsvilleINActive
DSH150056GVChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Ultrasound2209 John R Wooden DriveMartinsvilleINActive
DSH150056GWChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan MRI2209 John R Wooden DriveMartinsvilleINActive
DSH150056GXChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Mammography2209 John R Wooden DriveMartinsvilleINActive
DSH150056GYChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Nuclear Medicine2209 John R Wooden DriveMartinsvilleINActive
DSH150056GZChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Radiology Services2209 John R Wooden DriveMartinsvilleINActive
DSH150056HChildDSHINDIANA UNIVERSITY HEALTH INCIndiana University Health Hospice1828 N IllinoisIndianapolisINTerminated
DSH150056HAChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Laboratory2209 John R Wooden DriveMartinsvilleINTerminated
DSH150056HBChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Sleep Lab2209 John R Wooden DriveMartinsvilleINTerminated
DSH150056HCChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Oncology - Rad2209 John R Wooden DriveMartinsvilleINActive
DSH150056HDChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Morgan Respitory Therapy2209 John R Wooden DriveMartinsvilleINTerminated
DSH150056HEChildDSHINDIANA UNIVERSITY HEALTH INCMed Nutrition Therapy 2209 John R Wooden DriveMartinsvilleINTerminated
DSH150056HFChildDSHINDIANA UNIVERSITY HEALTH INCEating Disorders Practice - Riley Eat Disorder Charis6640 Intech BlvdIndianapolisINActive
DSH150056HGChildDSHINDIANA UNIVERSITY HEALTH INCRADIOLOGY-THERAPEUTIC - Precision Genomics1030 W. Michigan StreetIndianapolisINActive
DSH150056HHChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Diagnostic-AOC - Radiology550 N. University BlvdIndianapolisINActive
DSH150056HJChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Diagnostic-UH - Radiology550 N. University BlvdIndianapolisINActive
DSH150056HKChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Riley Multidisciplinary Clinic - Multidisciplinary Clinic575 Riley Hospital DriveIndianapolisINActive
DSH150056HLChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-CT-SCC - Radiology1030 W. Michigan StreetIndianapolisINActive
DSH150056HMChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-MRI-SCC - Radiology1030 W. Michigan StreetIndianapolisINActive
DSH150056HNChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Diagnostic-SCC - Radiology1030 W. Michigan StreetIndianapolisINActive
DSH150056HPChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-US-SCC - Radiology1030 W. Michigan StreetIndianapolisINActive
DSH150056HQChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Methodist Emergency Department - Emergency Department250 W. 16th StreetIndianapolisINActive
DSH150056HRChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Surgical ICU UC5E - Surgical Intensive Care Unit1030 W. Michigan StreetIndianapolisINActive
DSH150056HSChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiation Therapy MH - Radiation Therapy300 W. 16th StreetIndianapolisINActive
DSH150056HTChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Methodist Observation Unit - Observation250 W. 16th StreetIndianapolisINActive
DSH150056HUChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Otolaryngology - Otolaryngology550 N. University BlvdIndianapolisINActive
DSH150056HVChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Digestive and Liver Disorder Center - Gastroenterology & Hepatology550 N. University BlvdIndianapolisINActive
DSH150056HWChildDSHINDIANA UNIVERSITY HEALTH INCIU HEALTH PRE-ADMISSION TESTING - Pre Admission Testing1801 N. SENATE AVEINDIANAPOLISINActive
DSH150056HXChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Neuroradiology GH - Radiology362 W. 15th StreetIndianapolisINActive
DSH150056HYChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Riley Apheresis - Apheresis705 Riley Hospital DriveIndianapolisINActive
DSH150056HZChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hematology/Oncology UC3E - Hematology/Oncology1030 W. Michigan StreetIndianapolisINActive
DSH150056JChildDSHINDIANA UNIVERSITY HEALTH INCIndiana University Health Saxony Medical Center Cardiac Rehab13100 E. 136th StreetFishersINTerminated
DSH150056JAChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Organ Transplant Infusion UH - Organ Transplant550 N. University BlvdIndianapolisINActive
DSH150056JCChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-Mammo-MPC - Radiology1801 N. Senate Blvd.IndianapolisINActive
DSH150056JDChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-MRI-MPC - Radiology1801 N. Senate Blvd.IndianapolisINActive
DSH150056JEChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-CT-GH - Radiology362 W. 15th StreetIndianapolisINActive
DSH150056JFChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Dermatology UH - Dermatology535 Barnhill Dr.IndianapolisINActive
DSH150056JGChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Radiology-PET/MRI-GH - Radiology362 W. 15th StreetIndianapolisINActive
DSH150056JHChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Dermatology CC - Dermatology1030 W. Michigan StreetIndianapolisINActive
DSH150056JJChildDSHINDIANA UNIVERSITY HEALTH INCIU HEALTH LIFECARE PROGRAM - HIV Clinic1633 N CAPITOL AVEINDIANAPOLISINActive
DSH150056JKChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Hem Onc Clinic - RH North - NORTH HEM ONC CLINIC11700 N. Meridian StCarmelINActive
DSH150056JLChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Liver Seizure Unit 4NW - UH - ADULT MEDICAL UNIT - 4N Liver Seizure550 North University BlvdIndianapolisINActive
DSH150056JMChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Obsterics Labor and Delivery - RH - ADULT OBSTETRICS LABOR AND DELIVERY UNIT - RILEY705 Riley Hospital DriveIndianapolisINActive
DSH150056JNChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Renal Dialysis - UH - DIALYSIS550 North University BlvdIndianapolisINActive
DSH150056JPChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Riley MFM - Riley Maternal Fetal Medicine Clinic575 Riley Hospital DrIndianapolisINActive
DSH150056JQChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Obstetrics Emergency - RH - ADULT OBSTETRICS EMERGENCY - RILEY705 Riley Hospital DriveIndianapolisINActive
DSH150056JRChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pediatric Unit 9E - RH - PEDIATRIC MEDICAL UNIT - RILEY 9E Surgery Nursing Unit705 Riley Hospital DriveIndianapolisINActive
DSH150056JSChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pediatric Unit 8W - RH - PEDIATRIC MEDICAL UNIT - RILEY 8W Pulmonary Unit705 Riley Hospital DriveIndianapolisINActive
DSH150056JTChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pediatric Unit 8E RH - PEDIATRIC MED - SURG COMBINATION - RILEY 8E Diabetes-Endo705 Riley Hospital DriveIndianapolisINActive
DSH150056JUChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pediatric Unit 7W - RH - PEDIATRIC MED - SURG COMBINATION - RILEY 7W Infectious Disease705 Riley Hospital DriveIndianapolisINActive
DSH150056JVChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pediatric Unit 9W - RH - PEDIATRIC MED - SURG COMBINATION - RILEY 9W705 Riley Hospital DriveIndianapolisINActive
DSH150056JWChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pediatric Oncology -RH - PEDIATRIC ONCOLOGY MEDICAL705 Riley Hospital DriveIndianapolisINActive
DSH150056JXChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Burn Intensive Care Unit - RH - PEDIATRIC BURN CRITICAL CARE705 Riley Hospital DriveIndianapolisINActive
DSH150056JYChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pediatric Bone Marrow Transplant - RH - PEDIATRIC BONE MARROW TRANSPLANT705 Riley Hospital DriveIndianapolisINActive
DSH150056JZChildDSHINDIANA UNIVERSITY HEALTH INCIU Heath Pediatric Step-Down -RH - PEDIATRIC MEDICAL UNIT - STEP DOWN UNIT705 Riley Hospital DriveIndianapolisINActive
DSH150056KChildDSHINDIANA UNIVERSITY HEALTH INCIndiana University Health Sleep Disorders Center714 N. SenateIndianapolisINTerminated
DSH150056KAChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Cardiovascular Intensive Care Unit (CVICU) - RH - PEDIATRIC CRITICAL CARE UNIT - CVICU705 Riley Hospital DriveIndianapolisINActive
DSH150056KBChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Pediatric Crtical Care Unit - RH - PEDIATRIC CRITICAL CARE UNIT - ICU705 Riley Hospital DriveIndianapolisINActive
DSH150056KCChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Obsterics Mother Baby Combined Unit - RH - ADULT OBSTETRICS MOTHER BABY COMBINED UNIT - RILEY705 Riley Hospital DriveIndianapolisINActive
DSH150056KDChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Transplant Surgical Unit ICU - UH - ADULT TRANSPLANT SURGICAL UNIT - TRANSPLANT ICU550 North University BlvdIndianapolisINActive
DSH150056KEChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Medical Critical Care -UH - ADULT MEDICAL CRITICAL CARE UNIT - MICU550 North University BlvdIndianapolisINActive
DSH150056KFChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Oncology Med-Surg-UH - ADULT ONCOLOGY MED-SURG COMBINATION UNIT - UNIVERSITY 2N550 North University BlvdIndianapolisINActive
DSH150056KGChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Surgical Unit 4SW - UH - ADULT MEDICAL UNIT - 4SW550 North University BlvdIndianapolisINActive
DSH150056KHChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Surgical Unit 3SW - UH - ADULT SURGICAL UNIT - UNIVERSITY 3S550 North University BlvdIndianapolisINActive
DSH150056KJChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Med-Surg U6KR - UH - ADULT MED-SURG COMBINATION UNIT - UNIVERSITY 6W550 North University BlvdIndianapolisINActive
DSH150056KKChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Bone Marrow Transplant - UH - ADULT BONE MARROW TRANSPLANT550 North University BlvdIndianapolisINActive
DSH150056KLChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Surgical Step Down Unit - UH - ADULT SURGICAL STEP-DOWN UNIT - UNIVERSITY550 North University BlvdIndianapolisINActive
DSH150056KMChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Transplant Surgical Unit - Organ Transplant UH - ADULT TRANSPLANT SURGICAL UNIT - ORGAN TRANSPLANT550 North University BlvdIndianapolisINActive
DSH150056KNChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Med-Surg - UH - ADULT MED-SURG COMBINATION UNIT - UNIVERSITY MPC550 North University BlvdIndianapolisINActive
DSH150056KPChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Adult Surgical Unit 3NW - UH - ADULT SURGICAL UNIT - UNIVERSITY 3N550 North University BlvdIndianapolisINActive
DSH150056KQChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Riley Multidisciplinary Clinic - AdolMed RI Kidney MSA - MULTISPECIALTY CLINICS MSA 1575 Riley Hospital DriveIndianapolisINActive
DSH150056KRChildDSHINDIANA UNIVERSITY HEALTH INCIU Health Riley Infusion Center - W6101 - HEM ONC - INFUSION RILEY705 Riley Hospital DriveIndianapolisINActive
DSH150056KSChildDSHINDIANA UNIVERSITY HEALTH INCIU Health POCU - IUSCC - Simon Cancer Day Surgery1030 W Michigan StreetIndianapolisINActive
DSH150056LChildDSHINDIANA UNIVERSITY HEALTH INCIndiana University Health Saxony Medical Center Sleep Lab13100 E. 136th StreetFishersINTerminated
DSH150056MChildDSHINDIANA UNIVERSITY HEALTH INCIndiana University Health Sleep Disorders Center - Greenwood1411 W. County Line Road, Suite CGreenwoodINTerminated
DSH150056NChildDSHINDIANA UNIVERSITY HEALTH INCIUH Infusion Center - North151 Pennsylvania ParkwayCarmelINActive
DSH150056PChildDSHINDIANA UNIVERSITY HEALTH INCIUH Infusion Center - South8830 S. Meridian StreetIndianapolisINTerminated
DSH150056QChildDSHINDIANA UNIVERSITY HEALTH INCIUH MMP Eagle Highland Radiology6850 Parkdale PlaceIndianapolisINTerminated
DSH150056RChildDSHINDIANA UNIVERSITY HEALTH INCIUH MMP East Radiology9660 E. Washington StreetIndianapolisINTerminated
DSH150056SChildDSHINDIANA UNIVERSITY HEALTH INCIUH Infusion Center - Eagle Highland6850 Parkdale PlaceIndianapolisINActive
DSH150056TChildDSHINDIANA UNIVERSITY HEALTH INCIUH MMP South Radiology8830 S. Meridian StreetIndianapolisINTerminated
DSH150056UChildDSHINDIANA UNIVERSITY HEALTH INCIUH MMP North Radiology151 Pennsylvania ParkwayIndianapolisINTerminated
DSH150056VChildDSHINDIANA UNIVERSITY HEALTH INCIUH MMP South Surgery8830 S. Meridian StreetIndianapolisINTerminated
DSH150056WChildDSHINDIANA UNIVERSITY HEALTH INCIUH MMP South Recovery8830 S. Meridian StreetIndianapolisINTerminated
DSH150056YChildDSHINDIANA UNIVERSITY HEALTH INCIndiana University Health Adult Dialysis Center2140 N. Capitol StreetIndianapolisINTerminated
DSH150056ZChildDSHINDIANA UNIVERSITY HEALTH INCIndiana University Health Brownsburg Radiology1375 N. Green Street, Suite 200BrownsburgINTerminated
History
SectionFieldActionActivityValue BeforeValue AfterTimestamp 
DetailsLast Recertification DateUpdateRecertification 8/12/2024 3:32:30 PM8/12/2024 3:32 PM
DetailsStateUpdate ApprovedActive7/1/2024 12:01 AM
ContactsSigned ByInsertNew Registration Alvey, Jennifer M. SVP & CFO Indiana University Health 31796302135/30/2024 7:40 AM
Details340B IDUpdateNew Registration DSH150056KN5/30/2024 7:40 AM
DetailsEntity NameUpdateNew RegistrationINDIANA UNIVERSITY HEALTHINDIANA UNIVERSITY HEALTH INC5/30/2024 7:40 AM
DetailsEntity SubnameUpdateNew RegistrationIU Health Adult Med-Surg - UHIU Health Adult Med-Surg - UH - ADULT MED-SURG COMBINATION UNIT - UNIVERSITY MPC5/30/2024 7:40 AM
DatesParticipating Approval DateUpdateNew Registration 5/30/2024 7:40:53 AM5/30/2024 7:40 AM
DetailsStateUpdateNew RegistrationPendingApproved5/30/2024 7:40 AM
DatesSigned By DateUpdateNew Registration 5/24/2024 2:44:41 PM5/30/2024 7:40 AM
DatesStart DateUpdateNew Registration 7/1/2024 12:00:00 AM5/30/2024 7:40 AM
AddressesMain AddressInsertNew Registration  550 North University Blvd Indianapolis, IN 462024/12/2024 10:23 AM
AddressesBilling AddressInsertNew Registration IU Health Methodist Hospital 1701 N. Senate Blvd Indianapolis, IN 462024/12/2024 10:23 AM
AddressesShipping AddressInsertNew Registration IU Health University Pharmacy 550 North University Blvd RM R077 Indianapolis, IN 462024/12/2024 10:23 AM
ContactsAuthorizing OfficialInsertNew Registration Alvey, Jennifer M. SVP & CFO Indiana University Health 31796302134/12/2024 10:23 AM
ContactsPrimary ContactInsertNew Registration Hatchett, Jennifer Ann Senior Financial Analyst IU Health, Inc. 31796242434/12/2024 10:23 AM
DetailsAssistance Received From DateInsertNew Registration  4/12/2024 10:23 AM
DetailsAssistance Received To DateInsertNew Registration  4/12/2024 10:23 AM
DetailsLast Recertification DateInsertNew Registration  4/12/2024 10:23 AM
DetailsGrant NumberInsertNew Registration  4/12/2024 10:23 AM
Details340B IDInsertNew Registration  4/12/2024 10:23 AM
DetailsIs Authorizing Official EHB DataInsertNew Registration  4/12/2024 10:23 AM
DatesLast Date That 340B Drugs PurchasedInsertNew Registration  4/12/2024 10:23 AM
DetailsMedicare Provider NumberInsertNew Registration 1500564/12/2024 10:23 AM
DetailsEntity NameInsertNew Registration INDIANA UNIVERSITY HEALTH4/12/2024 10:23 AM
DetailsNOFO NumberInsertNew Registration  4/12/2024 10:23 AM
DetailsProgram CodeInsertNew Registration DSH4/12/2024 10:23 AM
DetailsEntity SubnameInsertNew Registration IU Health Adult Med-Surg - UH4/12/2024 10:23 AM
DatesParticipating Approval DateInsertNew Registration  4/12/2024 10:23 AM
DetailsStateInsertNew Registration Pending4/12/2024 10:23 AM
DatesRegistration DateInsertNew Registration 4/12/2024 10:23:26 AM4/12/2024 10:23 AM
DatesSigned By DateInsertNew Registration  4/12/2024 10:23 AM
DatesStart DateInsertNew Registration  4/12/2024 10:23 AM
TerminationsTermination CommentsInsertNew Registration  4/12/2024 10:23 AM
TerminationsTermination DateInsertNew Registration  4/12/2024 10:23 AM
TerminationsTermination Effective DateInsertNew Registration  4/12/2024 10:23 AM
TerminationsTermination ReasonInsertNew Registration  4/12/2024 10:23 AM