Addresses | Shipping Address | Insert | Change Request | | ASCENSION RX 1502
8414 NAAB RD
SUITE 140
INDIANAPOLIS, IN 46260 | 4/8/2025 6:35 AM |
Addresses | Shipping Address | Insert | Change Request | | Ascension Rx
7701 Metropolis Drive
200C
Austin, TX 78744 | 12/18/2024 6:38 AM |
Details | Last Recertification Date | Update | Recertification | 8/23/2023 5:16:46 PM | 9/3/2024 2:02:19 PM | 9/3/2024 2:02 PM |
Details | Last Recertification Date | Update | Recertification | 8/31/2022 3:54:17 PM | 8/23/2023 5:16:46 PM | 8/23/2023 5:16 PM |
Contacts | Authorizing Official | Update | AO Change Request | Metzger, Terrence
COO
Ascension St Vincent Hospital and Health Care
3173389769 | Parod, Daniel Allen
President
Ascension St. Vincent, Central Region
3173387094 | 5/2/2023 11:23 AM |
Details | Last Recertification Date | Update | Recertification | 8/24/2021 11:11:29 AM | 8/31/2022 3:54:17 PM | 8/31/2022 3:54 PM |
Contacts | Primary Contact | Update | Change Request | Hurst, Angela
340b analyst
St. Vincent Hospital and Health Care
3173387681 | Ashby, Jason
340B Director
Ascension
8124543218 | 11/4/2021 1:00 PM |
Contacts | Authorizing Official | Update | Change Request | Wehrmeister, Erica Lynn
Regional President
St. Vincent Indianapolis
3173387094 | Metzger, Terrence
COO
Ascension St Vincent Hospital and Health Care
3173389769 | 10/7/2021 7:26 AM |
Details | Last Recertification Date | Update | Recertification | 8/25/2020 10:36:15 AM | 8/24/2021 11:11:29 AM | 8/24/2021 11:11 AM |
Details | Entity Name | Update | Change Request | ST. VINCENT HOSPITAL AND HEALTH CARE CENTER | ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis | 11/2/2020 8:05 AM |
Details | Last Recertification Date | Update | Recertification | 9/9/2019 6:26:10 AM | 8/25/2020 10:36:15 AM | 8/25/2020 10:36 AM |
Contacts | Primary Contact | Update | Change Request | Hurst, Angela M D
340B Analyst
St Vincent
3173387681 | Hurst, Angela
340b analyst
St. Vincent Hospital and Health Care
3173387681 | 1/28/2020 11:31 AM |
Contacts | Authorizing Official | Update | Profile Change Request | Wehrmeister, Erica Lynn
COO
St. Vincent Indianapolis
3173387094 | Wehrmeister, Erica Lynn
Regional President
St. Vincent Indianapolis
3173387094 | 12/9/2019 10:18 AM |
Details | Last Recertification Date | Update | Recertification | 8/22/2018 11:35:19 AM | 9/9/2019 6:26:10 AM | 9/9/2019 6:26 AM |
Contacts | Authorizing Official | Update | Change Request | Feldman, Aaron Joel
CEO
St. Vincent Hospital and Healthcare Center
3173382455 | Wehrmeister, Erica Lynn
COO
St. Vincent Indianapolis
3173387094 | 11/7/2018 7:00 AM |
Details | Last Recertification Date | Update | Recertification | 11/8/2017 12:30:51 PM | 8/22/2018 11:35:19 AM | 8/22/2018 11:35 AM |
Contacts | Primary Contact | Update | Profile Change Request | Hurst, Angela M
340B Analyst
St Vincent
3173387681 | Hurst, Angela M D
340B Analyst
St Vincent
3173387681 | 12/11/2017 11:05 AM |
Contacts | Primary Contact | Update | Change Request | Antonopoulos, Anthony
Executive Director Pharmacy Services
St. Vincent Hospital and Healthcare System
3173384349 | Hurst, Angela M
340B Analyst
St Vincent
3173387681 | 12/11/2017 10:39 AM |
Details | Last Recertification Date | Update | Recertification | 8/26/2016 12:00:00 AM | 11/8/2017 12:30:51 PM | 11/8/2017 12:30 PM |
Contacts | Authorizing Official | Update | Profile Change Request | Feldman, Joel
CEO
St. Vincent Hospital and Healthcare Center
3173382273 | Feldman, Aaron Joel
CEO
St. Vincent Hospital and Healthcare Center
3173382455 | 11/6/2017 2:34 PM |
Contacts | Authorizing Official | Update | | Feldman, Joel
CEO
3173382273 | Feldman, Joel
CEO
St. Vincent Hospital and Healthcare Center
3173382273 | 10/24/2017 5:17 PM |
Contacts | Primary Contact | Update | | Antonopoulos, Anthony
Executive Director Pharmacy Services
3173384349 | Antonopoulos, Anthony
Executive Director Pharmacy Services
St. Vincent Hospital and Healthcare System
3173384349 | 9/26/2017 7:39 AM |
Contacts | Authorizing Official | Update | | WILLIAMS, JEFFREY P.
CFO
3173389769 | Feldman, Joel
CEO
3173382273 | 10/8/2016 11:05 AM |
Addresses | Main Address | Insert | | |
2001 WEST 86TH STREET
INDIANAPOLIS, IN 46260 | 9/14/2016 12:18 PM |
Contacts | Primary Contact | Update | | BEHRENS, GREGORY R.
EXECUTIVE DIRECTOR
3173389794 | Antonopoulos, Anthony
Executive Director Pharmacy Services
3173384349 | 9/14/2016 12:18 PM |
Details | Last Recertification Date | Update | | 8/13/2015 12:00:00 AM | 8/26/2016 12:00:00 AM | 8/26/2016 10:19 AM |
Details | Last Recertification Date | Update | | 8/25/2014 12:00:00 AM | 8/13/2015 12:00:00 AM | 8/13/2015 10:19 AM |
Details | Last Recertification Date | Update | | 9/9/2013 12:00:00 AM | 8/25/2014 12:00:00 AM | 8/25/2014 10:17 AM |
Details | Last Recertification Date | Update | | 7/1/2012 12:00:00 AM | 9/9/2013 12:00:00 AM | 9/9/2013 6:33 AM |
Details | Last Recertification Date | Update | | | 7/1/2012 12:00:00 AM | 5/14/2012 10:08 AM |
Details | Comments Public | Insert | | | 12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %;
8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ % | 5/14/2012 10:08 AM |
Contacts | Primary Contact | Insert | | | BEHRENS, GREGORY R.
EXECUTIVE DIRECTOR
3173389794 | 2/17/2012 11:53 AM |
Contacts | Authorizing Official | Insert | | | WILLIAMS, JEFFREY P.
CFO
3173389769 | 1/14/2010 2:03 PM |
Details | Comments Public | Insert | | | 12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ % | 10/19/2009 3:24 PM |
Details | Last Recertification Date | Insert | | | | 9/3/2008 8:32 AM |
Details | Grant Number | Insert | | | | 9/3/2008 8:32 AM |
Details | 340B ID | Insert | | | DSH150084 | 9/3/2008 8:32 AM |
Details | Is Authorizing Official EHB Data | Insert | | | | 9/3/2008 8:32 AM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 9/3/2008 8:32 AM |
Details | Medicare Provider Number | Insert | | | 150084 | 9/3/2008 8:32 AM |
Details | Entity Name | Insert | | | ST. VINCENT HOSPITAL AND HEALTH CARE CENTER | 9/3/2008 8:32 AM |
Details | Program Code | Insert | | | DSH | 9/3/2008 8:32 AM |
Details | Entity Subname | Insert | | | | 9/3/2008 8:32 AM |
Dates | Participating Approval Date | Insert | | | 9/3/2008 12:00:00 AM | 9/3/2008 8:32 AM |
Details | State | Insert | | | Active | 9/3/2008 8:32 AM |
Dates | Registration Date | Insert | | | 9/3/2008 12:00:00 AM | 9/3/2008 8:32 AM |
Dates | Signed By Date | Insert | | | 8/29/2008 12:00:00 AM | 9/3/2008 8:32 AM |
Dates | Start Date | Insert | | | 9/3/2008 12:00:00 AM | 9/3/2008 8:32 AM |
Terminations | Termination Comments | Insert | | | | 9/3/2008 8:32 AM |
Terminations | Termination Date | Insert | | | | 9/3/2008 8:32 AM |
Terminations | Termination Effective Date | Insert | | | | 9/3/2008 8:32 AM |
Terminations | Termination Reason | Insert | | | | 9/3/2008 8:32 AM |
Details | Comments Public | Insert | | | 12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %;
8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ % | 9/3/2008 8:32 AM |