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DSH150074AF Community Health Network, Inc. (Terminated)
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Main Details
Name
Community Health Network, Inc.
Subdivision Name
GMHC Behavioral Health Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150074AF
Medicare Provider Number
150074
Outpatient Facility Provider Number
150074
Additional Details
Current Program Status
Terminated
Registration Date
7/15/2014
Participating Start Date
10/1/2014
Participating Approval Date
8/29/2014
Last Recertification Date
8/12/2024
Termination Date
Termination Reason
1/1/2025
Hospital Outpatient facility no longer eligible
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
3000 S. S.R. 135, Suite 230
Greenwood, IN 46143
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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