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DSH150015G 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 Calumet
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150015G
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
761 45TH AVE., SUITE 101/102
MUNSTER, IN 46321-2899
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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