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DSH150056KF INDIANA UNIVERSITY HEALTH INC (Active)
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Main Details
Name
INDIANA UNIVERSITY HEALTH INC
Subdivision Name
IU Health Adult Oncology Med-Surg-UH - ADULT ONCOLOGY MED-SURG COMBINATION UNITÂ - UNIVERSITY 2N
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150056KF
Medicare Provider Number
150056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/30/2024
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Indiana University Health
Jennifer M. Alvey, SVP & CFO
(317) 963-0213
Primary Contact
IU Health, Inc.
Jennifer Ann Hatchett, Senior Financial Analyst
(317) 962-4243
Addresses
Street Address
550 North University Blvd
Indianapolis, IN 46202
Billing Address
IU Health Methodist Hospital
1701 N. Senate Blvd
Indianapolis, IN 46202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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