340B Drug Pricing Program Database
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DSH150109F FRANCISCAN HEALTH LAFAYETTE (Active)
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Main Details
Name
FRANCISCAN HEALTH LAFAYETTE
Subdivision Name
Franciscan Health Pharmacotherapy, a department of Franciscan Health Lafayette
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150109F
Medicare Provider Number
150109
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/11/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/1/2024
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Franciscan Health
Jason Geddes, Regional CFO
(765) 502-4599
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
1116 N 16th St
Lafayette, IN 47904
Billing Address
Franciscan Health Lafayette
1701 South Creasy Lane
Lafayette, IN 47905
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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