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DSH150015F FRANCISCAN HEALTH MICHIGAN CITY (Active)
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Main Details
Name
FRANCISCAN HEALTH MICHIGAN CITY
Subdivision Name
FRANCISCAN HEALTH MICHIGAN CITY INF - Infusion Center at Crown Point, Ground Floor
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150015F
Medicare Provider Number
150015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/22/2024
Last Recertification Date
Contacts
Authorizing Official
Franciscan Alliance
Justin Kats, Division CFO - Crown Point & Michigan City
(219) 757-6403
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
1201 S. Main Street
Crown Point, IN 46307-8481
Billing Address
Franciscan Health Michigan City
3500 Franciscan Way
Michigan City, IN 46360
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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