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DSH150002M THE METHODIST HOSPITALS (Active)
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Main Details
Name
THE METHODIST HOSPITALS
Subdivision Name
METHODIST HOSPITALS ENDOSCOPY CENTE
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150002M
Medicare Provider Number
150002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/10/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/12/2014
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Methodist Hospitals
Matthew Shawn Doyle, President & CEO
(219) 886-4608
Primary Contact
Methodist Hospital
Laura Majoch, Controller
(219) 886-5390
Addresses
Street Address
8895 BROADWAY
MERRILLVILLE, IN 46410-7037
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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