340B Drug Pricing Program Database
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DSH150074A Community Health Network, Inc. (Active)
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Main Details
Name
Community Health Network, Inc.
Subdivision Name
Community Cancer Center North
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150074A
Medicare Provider Number
150074
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/4/2008
Participating Start Date
4/1/2008
Participating Approval Date
3/5/2008
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Community Health Network
Beth Tharp, SVP/President of Hospital Services
(765) 298-5125
Primary Contact
Community Health Network
Ashley Marie Harlow, Director, 340B and Strategic Pharmacy Revenue
(317) 621-1791
Addresses
Street Address
7979 N. Shadeland Ave.
Suite 200
Indianapolis, IN 46250
Billing Address
Community Regional Cancer Cen
7979 N. Shadeland Ave.
Indianapolis, IN 46250
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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5/27/09 DOC RECD TO CONFIRM ELIG DSH ADJ%
03/04/2008
May 2025
May 2025
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