340B Drug Pricing Program Database
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DSH150074N Community Health Network, Inc. (Active)
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Main Details
Name
Community Health Network, Inc.
Subdivision Name
Community Support Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150074N
Medicare Provider Number
150074
Outpatient Facility Provider Number
150074
Additional Details
Current Program Status
Active
Registration Date
7/14/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/29/2014
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Community Health Network
Beth Tharp, SVP/President of Hospital Services
(765) 298-5125
Primary Contact
Community Health Network
Ashley Marie Harlow, Director, 340B and Strategic Pharmacy Revenue
(317) 621-1791
Addresses
Street Address
5470 East 16th Street
Indianapolis, IN 46218
Billing Address
Community Health Network, Inc
1500 N Ritter Ave
Indianapolis, IN 46219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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