340B Drug Pricing Program Database
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DSH150169 COMMUNITY HOSPITAL OF INDIANA INC. (Active)
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Main Details
Name
COMMUNITY HOSPITAL OF INDIANA INC.
Subdivision Name
Community Hospital North
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150169
Medicare Provider Number
150169
Additional Details
Current Program Status
Active
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
3/7/2016
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
7150 CLEARVISTA DRIVE
INDIANAPOLIS, IN 46256
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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