340B Drug Pricing Program Database
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DSH150074E Community Health Network, Inc. (Active)
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Main Details
Name
Community Health Network, Inc.
Subdivision Name
COMMUNITY HEALTH NETWORK INFUSION CENTER CASTLETON
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150074E
Medicare Provider Number
150074
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/7/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/26/2020
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
8177 CLEARVISTA PARKWAY
INDIANAPOLIS, IN 46256
Billing Address
Community Hospitals of Indiana, Inc.
1500 N. Ritter Ave
Indianapolis, IN 46219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (01/01/2009) until terminated effective date: (10/1/2013), reinstatement effective date: (04/01/2020).
02/03/2020
5/27/09 DOC RECD TO CONFIRM ELIG DSH ADJ%
12/03/2008
May 2025
May 2025
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