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CHC26566-07 JANE PAULEY COMMUNITY HEALTH CENTER, INC. (Terminated)
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Main Details
Name
JANE PAULEY COMMUNITY HEALTH CENTER, INC.
Subdivision Name
Jane Pauley Community Health Center at Gallahue
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013938
340B ID
CHC26566-07
Grant Number
H80CS26566
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2015
Participating Start Date
4/1/2015
Participating Approval Date
1/22/2015
Last Recertification Date
1/29/2019
Termination Date
Termination Reason
4/1/2020
Site closure
Contacts
Authorizing Official
Jane Pauley Community Health Center
Dale Marion, 340B Program Manager
(317) 552-0690
Primary Contact
Jane Pauley Community Health Center
Amanda Boyle, Executive Administrator
(317) 934-0755
Addresses
Street Address
5470 E 16TH ST
INDIANAPOLIS, IN 46218-4861
Billing Address
Jane Pauley Community Health Center, Inc.
1503 N. Mitthoeffer Rd.
Indianapolis, IN 46229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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