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CAH151324-00 FRANCISCAN HEALTH RENSSELAER (Active)
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Main Details
Name
FRANCISCAN HEALTH RENSSELAER
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH151324-00
Medicare Provider Number
151324
Additional Details
Current Program Status
Active
Registration Date
9/14/2010
Participating Start Date
9/15/2010
Participating Approval Date
9/14/2010
Last Recertification Date
8/21/2024
Contacts
Authorizing Official
Franciscan Health
Jason Geddes, Regional CFO
(765) 502-4599
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
1104 EAST GRACE STREET
RENSSELAER, IN 47978-3211
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/22/12 Deleted NPI#(was 1811962228)
01/10/2012
12/22/21 Deleted NPI#(was 1811962228)
12/22/2011
May 2025
May 2025
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