340B Drug Pricing Program Database
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DSH150074BY Community Health Network, Inc. (Active)
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Main Details
Name
Community Health Network, Inc.
Subdivision Name
CHE Multidisciplinary Clinic - Multidisciplinary Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150074BY
Medicare Provider Number
150074
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/1/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/5/2024
Last Recertification Date
Contacts
Authorizing Official
Community Health Network
Beth Tharp, SVP/President of Hospital Services
(765) 298-5125
Primary Contact
Community Health Network
Ashley Marie Harlow, Director, 340B and Strategic Pharmacy Revenue
(317) 621-1791
Addresses
Street Address
1400 N Ritter Ave
481
Indianapolis, IN 46219
Billing Address
Community Health Network, Inc
1500 N Ritter Ave
Indianapolis, IN 46219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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