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DSH150056FV INDIANA UNIVERSITY HEALTH INC (Active)
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Main Details
Name
INDIANA UNIVERSITY HEALTH INC
Subdivision Name
IU Health Amb Svc Opthalmology Cl
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150056FV
Medicare Provider Number
150056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/7/2012
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Indiana University Health
Jennifer M. Alvey, SVP & CFO
(317) 963-0213
Primary Contact
IU Health, Inc.
Jennifer Ann Hatchett, Senior Financial Analyst
(317) 962-4243
Addresses
Street Address
1160 W Michigan
Indianapolis, IN 46202
Billing Address
IU Health Methodist Hospital
1701 N. Senate Blvd
Indianapolis, IN 46202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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