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CH05320AC HEALTHNET, INC. (Terminated)
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Main Details
Name
HEALTHNET, INC.
Subdivision Name
Northwest Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017156
340B ID
CH05320AC
Grant Number
H80CS00114
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/16/2016
Last Recertification Date
2/19/2018
Termination Date
Termination Reason
10/1/2018
Site closure
Contacts
Authorizing Official
HealthNet
Donald Trainor, Chief Medical Officer
(317) 957-2032
Primary Contact
HealthNet, Inc.
Andrew Gonzales, Director, Pharmacy Services
(317) 957-2066
Addresses
Street Address
2944 Clifton Street
Indianapolis, IN 46208-4928
Billing Address
HealthNet Accounts Payable
3403 E Raymond St
Indianapolis, IN 46203
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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