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DSH150056 INDIANA UNIVERSITY HEALTH INC (Active)
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Main Details
Name
INDIANA UNIVERSITY HEALTH INC
Subdivision Name
Methodist Hospital
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150056
Medicare Provider Number
150056
Additional Details
Current Program Status
Active
Registration Date
12/1/2007
Participating Start Date
4/1/2004
Participating Approval Date
12/1/2007
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Indiana University Health
Jennifer M. Alvey, SVP & CFO
(317) 963-0213
Primary Contact
IU Health, Inc.
Jennifer Ann Hatchett, Senior Financial Analyst
(317) 962-4243
Addresses
Street Address
1701 N. Senate Blvd
INDIANAPOLIS, IN 46202
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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10/4/12 Changes to database after review of Medicare cost report and correlation with IU legal councel and CFO to switch 340B ID Child site B previously sub name Methodist Hospital with previous parent site University Hospital. After merger child site per medicare report became parent and these changes reflect this. JH 4/1/04 REINSTATED ORIG PART FROM 1/1/2000 TO 12/31/2000, NOT ELIG FROM 1/1/2001 TO 3/31/2004, 9/22/04 ADD IU PRESCRIPTION CENTER TO SUBDIV NAME
10/04/2012
10/4/12 Changes to database after review of Medicare cost report and correlation with IU legal councel and CFO to switch 340B ID Chils site A previously sub name Riley Hospital for Children with previous parent site University Hospital. After merger child site per medicare report became parent and these changes reflect this. JH 4/1/04 REINSTATED ORIG PART FROM 1/1/2000 TO 12/31/2000, NOT ELIG FROM 1/1/2001 TO 3/31/2004, 9/22/04 ADD IU PRESCRIPTION CENTER TO SUBDIV NAME
10/04/2012
4/1/04 REINSTATED ORIG PART FROM 1/1/2000 TO 12/31/2000, NOT ELIG FROM 1/1/2001 TO 3/31/2004, 9/22/04 ADD IU PRESCRIPTION CENTER TO SUBDIV NAME
12/01/2007
April 2025
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