340B Drug Pricing Program Database
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DSH150056C INDIANA UNIVERSITY HEALTH INC (Terminated)
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Main Details
Name
INDIANA UNIVERSITY HEALTH INC
Subdivision Name
INDIANA UNIVERSITY HEALTH HOME CARE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150056C
Medicare Provider Number
150056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
11/30/2007
Participating Start Date
1/1/2008
Participating Approval Date
12/1/2007
Last Recertification Date
12/1/2017
Termination Date
Termination Reason
4/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Indiana University Health
Jennifer M. Alvey, SVP & CFO
(317) 963-0213
Primary Contact
Indiana University Health, Inc.
Don Davies, Manager of 340B/Audit
(317) 963-2580
Addresses
Street Address
950 N. MERIDIAN ST
SUITE 700
INDIANAPOLIS, IN 46204
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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