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CH05311I INDIANA HEALTH CENTERS INCORPORATED (Terminated)
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Main Details
Name
INDIANA HEALTH CENTERS INCORPORATED
Subdivision Name
COMMUNITY HLTH CENTER OF JACKSON COUNTY
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000912
340B ID
CH05311I
Grant Number
H80CS00668
Additional Details
Current Program Status
Terminated
Registration Date
4/1/2004
Participating Start Date
4/1/2004
Participating Approval Date
4/8/2004
Last Recertification Date
2/2/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Indiana Health Centers, Inc.
Nicole Meyer, COO
(317) 576-1335 Ext: 4137
Primary Contact
Indiana Health Centers, Inc.
Ann Lundy, CEO
(317) 576-1335 Ext: 4124
Addresses
Street Address
113 N Chestnut St
Seymour, IN 47274-2176
Billing Address
Indiana Health Centers, Inc.
8003 Castleway Drive
Indianapolis, IN 46250
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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3/16/07 - UPDATED ADDRESS (WAS 600 SOUTH JACKSON PARK DRIVE)
03/16/2007
April 2025
April 2025
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