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DSH150084C ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis (Active)
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Main Details
Name
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis
Subdivision Name
ST. VINCENT PRIMARY CARE CENTER FAMILY MEDICINE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150084C
Medicare Provider Number
150084
Outpatient Facility Provider Number
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
8/28/2024
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
8414 NAAB ROAD
120
INDIANAPOLIS, IN 46260
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 11/6/08 UPDATED ADDR (WAS 8220 NAAB ROAD); 8/28/08 DOC RECD TO CONFIRM ELIG DSH ADJ %
05/14/2012
12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 11/6/08 UPDATED ADDR (WAS 8220 NAAB ROAD); 8/28/08 DOC RECD TO CONFIRM ELIG DSH ADJ %
01/14/2010
12/22/2010- DOC. RECD. TO CONFIRM ELIG. DSH ADJ. %; 11/6/08 UPDATED ADDR (WAS 8220 NAAB ROAD); 8/28/08 DOC RECD TO CONFIRM ELIG DSH ADJ %
09/03/2008
May 2025
May 2025
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