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DSH150109A FRANCISCAN HEALTH LAFAYETTE (Terminated)
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Main Details
Name
FRANCISCAN HEALTH LAFAYETTE
Subdivision Name
Indiana Packers Employee Health Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150109A
Medicare Provider Number
150109
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/6/2021
Participating Start Date
4/26/2021
Participating Approval Date
4/19/2021
Last Recertification Date
8/23/2023
Termination Date
Termination Reason
1/1/2024
Change of covered entity type (non-hospital)
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
1165 N US Highway 421
Delphi, IN 46923-8722
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date 7/1/2013, Termination 10/1/2020, Reinstatement 4/26/2021
04/26/2021
April 2025
April 2025
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