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DSH150004 FRANCISCAN HEALTH HAMMOND (Terminated)
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Main Details
Name
FRANCISCAN HEALTH HAMMOND
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150004
Medicare Provider Number
150004
Additional Details
Current Program Status
Terminated
Registration Date
3/7/2006
Participating Start Date
4/1/2013
Participating Approval Date
3/19/2013
Last Recertification Date
8/31/2022
Termination Date
Termination Reason
1/1/2023
Site closure
Contacts
Authorizing Official
Franciscan Alliance
Pamela Jo Ott, Chief Financial Officer
(219) 228-1015
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
5454 HOHMAN AVE
HAMMOND, IN 46320
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/19/13 participating 7/1/08 thru 6/30/12, not participating 7/1/12 thru 3/31/13, record reinstated based on new registration submitted and electronically signed by Tom Gryzbek on 1/14/13; 6/22/11 UPDATED ENTITY NAME (WAS ST MARGARET MERCY HEALTHCARE CENTERS); 12/10/09 REMOVED MEDICAID# (WAS 100268750); REINSTATED ORIG PART (4/1/06 - 3/31/07) NOT ELIGIBLE (4/1/07 TO 6/30/08); 5/30/08 DOC RECD TO CONFIRM ELIG DSH ADJ %
03/19/2013
6/22/11 UPDATED ENTITY NAME (WAS ST MARGARET MERCY HEALTHCARE CENTERS); 12/10/09 REMOVED MEDICAID# (WAS 100268750); REINSTATED ORIG PART (4/1/06 - 3/31/07) NOT ELIGIBLE (4/1/07 TO 6/30/08); 5/30/08 DOC RECD TO CONFIRM ELIG DSH ADJ %
06/22/2011
April 2025
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