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CHC26566-00 JANE PAULEY COMMUNITY HEALTH CENTER, INC. (Active)
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Main Details
Name
JANE PAULEY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Jane Pauley Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013290
340B ID
CHC26566-00
Grant Number
H80CS26566
Additional Details
Current Program Status
Active
Registration Date
1/8/2014
Participating Start Date
4/1/2014
Participating Approval Date
1/13/2014
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Jane Pauley Community Health Center
Aaron Knapp, Dir of Pharmacy Operations
(812) 632-0917
Primary Contact
Jane Pauley Community Health Center
Dale Marion, 340B Program Manager
(317) 552-0690
Addresses
Street Address
8931 E. 30th Street
Indianapolis, IN 46219-1501
Billing Address
Jane Pauley CHC
1503 N. Mitthoeffer Road
Indianapolis, IN 46229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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