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DSH150002AK THE METHODIST HOSPITALS (Active)
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Main Details
Name
THE METHODIST HOSPITALS
Subdivision Name
SL - SurgCtr-GI Lab - SL - SurgCtr-GI Lab
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150002AK
Medicare Provider Number
150002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/22/2024
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Methodist Hospitals
Matthew Shawn Doyle, President & CEO
(219) 886-4608
Primary Contact
Methodist Hospital
Laura Majoch, Controller
(219) 886-5390
Addresses
Street Address
101 E. 87th Ave
Merrillville, IN 46410
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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