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DSH150004H FRANCISCAN HEALTH HAMMOND (Terminated)
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Main Details
Name
FRANCISCAN HEALTH HAMMOND
Subdivision Name
MERRILLVILLE INFUSION CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150004H
Medicare Provider Number
150004
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2016
Participating Start Date
7/1/2016
Participating Approval Date
5/11/2016
Last Recertification Date
9/2/2020
Termination Date
Termination Reason
10/1/2021
Site closure
Contacts
Authorizing Official
Franciscan Alliance
Pamela Jo Ott, Chief Financial Officer
(219) 228-1015
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
300 W 80TH PLACE
MERRILLVILLE, IN 46410
Billing Address
FRANCISCAN ST MARGARET - HAMMOND
5454 HOHMAN AVENUE
HAMMOND, IN 46320
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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