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DSH150002F THE METHODIST HOSPITALS (Active)
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Main Details
Name
THE METHODIST HOSPITALS
Subdivision Name
Southlake Merrillville Ambulatory Surgery Center (MASC)
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150002F
Medicare Provider Number
150002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
5/15/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/21/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Methodist Hospitals
Matthew Shawn Doyle, President & CEO
(219) 886-4608
Primary Contact
Methodist Hospital
Laura Majoch, Controller
(219) 886-5390
Addresses
Street Address
101 E. 87th Ave.
Merrillville, IN 46410
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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