340B Drug Pricing Program Database
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DSH150056M INDIANA UNIVERSITY HEALTH INC (Terminated)
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Main Details
Name
INDIANA UNIVERSITY HEALTH INC
Subdivision Name
Indiana University Health Sleep Disorders Center - Greenwood
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150056M
Medicare Provider Number
150056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
8/31/2012
Participating Start Date
10/1/2012
Participating Approval Date
9/13/2012
Last Recertification Date
9/3/2019
Termination Date
Termination Reason
10/1/2020
Business decision by the Covered Entity
Contacts
Authorizing Official
Indiana University Health
Jennifer M. Alvey, SVP & CFO
(317) 963-0213
Primary Contact
IU Health
Lisa Stewart, Director - 340B Program
(317) 962-3540
Addresses
Street Address
1411 W. County Line Road, Suite C
Greenwood, IN 46142
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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