340B Drug Pricing Program Database
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CH05320C HealthNet, Inc. (Active)
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Main Details
Name
HealthNet, Inc.
Subdivision Name
Southeast Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000641
340B ID
CH05320C
Grant Number
H80CS00114
Additional Details
Current Program Status
Active
Registration Date
10/1/1996
Participating Start Date
10/1/1996
Participating Approval Date
12/6/2004
Last Recertification Date
2/25/2025
Contacts
Authorizing Official
HealthNet Inc
Varon Edward Cantrell, Chief Medical Officer
(317) 957-2015
Primary Contact
HealthNet, Inc.
Andrew Gonzales, Director, Pharmacy Services
(317) 957-2066
Addresses
Street Address
901 Shelby St
Indianapolis, IN 46203-1151
Billing Address
HealthNet Accounts Payable
3403 E Raymond St
Indianapolis, IN 46203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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12/2/04 UPDATED ENTITY NAME; 12/6/04 ADDED BILL TO; 12/6/04 ADDED MEDICAID #
01/21/2010
April 2025
April 2025
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