340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH150084 ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis (Active)
Print
Main Details
Name
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150084
Medicare Provider Number
150084
Additional Details
Current Program Status
Active
Registration Date
9/3/2008
Participating Start Date
9/3/2008
Participating Approval Date
9/3/2008
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Ascension St. Vincent, Central Region
Daniel Allen Parod, President
(317) 338-7094
Primary Contact
Ascension
Jason Ashby, 340B Director
(812) 454-3218
Addresses
Street Address
2001 WEST 86TH STREET
INDIANAPOLIS, IN 46260
Billing Address
Same as Street Address
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
12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %
05/14/2012
12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %
10/19/2009
12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 8/28/09 - DOC RECD TO CONFIRM ELIG DSH ADJ %
09/03/2008
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