340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH150056B INDIANA UNIVERSITY HEALTH INC (Terminated)
Print
Main Details
Name
INDIANA UNIVERSITY HEALTH INC
Subdivision Name
University Hospital
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150056B
Medicare Provider Number
150056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
12/1/2007
Participating Start Date
4/1/2004
Participating Approval Date
12/1/2007
Last Recertification Date
8/23/2023
Termination Date
Termination Reason
10/1/2024
Business decision by the Covered Entity
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
550 North University Blvd
Indianapolis, IN 46202
Billing Address
IU Health Methodist Hospital
1701 N. Senate Blvd
Indianapolis, IN 46202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
3
of
3
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
3
of
3
Page:
of 1
Go
Page size:
Change
10/4/12 see parent site note on alternating child and parent ID to match Medicare cost report JH ADDITIONAL IN-HOUSE PHARMACY AT 1801 N. SENATE BLVD. SO TWO SHIPPING LOCATIONS AT 1701 AND 1801 N. SENATE BLVD; ADD METHODIST PRESCRIPTION CENTER
10/04/2012
ADDITIONAL IN-HOUSE PHARMACY AT 1801 N. SENATE BLVD. SO TWO SHIPPING LOCATIONS AT 1701 AND 1801 N. SENATE BLVD; ADD METHODIST PRESCRIPTION CENTER
04/18/2008
ADDITIONAL IN-HOUSE PHARMACY AT 1801 N. SENATE BLVD. SO TWO SHIPPING LOCATIONS AT 1701 AND 1801 N. SENATE BLVD; ADD METHODIST PRESCRIPTION CENTER
12/01/2007
April 2025
April 2025
week
S
M
T
W
T
F
S
14
30
31
1
2
3
4
5
15
6
7
8
9
10
11
12
16
13
14
15
16
17
18
19
17
20
21
22
23
24
25
26
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session