340B Drug Pricing Program Database
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DSH150074G Community Health Network, Inc. (Active)
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Main Details
Name
Community Health Network, Inc.
Subdivision Name
COMMUNITY REGIONAL CANCER CENTER SOUTH
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150074G
Medicare Provider Number
150074
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
3/10/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/10/2009
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
1440 E. COUNTY LINE ROAD STE 1200
INDIANAPOLIS, IN 46227
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/17/009 UPDATED NAME AND SUITE# (WAS COMMUNITY REGIONAL CANCER CARE CENTER, SUITE 315); 5/27/09 DOC RECD TO CONFIRM ELIG DSH ADJ%
03/10/2009
May 2025
May 2025
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