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DSH150084R ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis (Approved)
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Main Details
Name
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis
Subdivision Name
ASCENSION ST. VINCENT RADIATION ONCOLOGY AND IMAGING - RADIATION ONCOLOGY AND IMAGING
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150084R
Medicare Provider Number
150084
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/3/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/21/2025
Last Recertification Date
Contacts
Authorizing Official
Ascension St. Vincent, Central Region
Daniel Allen Parod, President
(317) 338-7094
Primary Contact
Ascension
Jason Ashby, 340B Director
(812) 454-3218
Addresses
Street Address
8301 HARCOURT RD
SUITE 100
INDIANAPOLIS, IN 46260
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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