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DSH150051 IU HEALTH BLOOMINGTON HOSPITAL (Active)
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Main Details
Name
IU HEALTH BLOOMINGTON HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150051
Medicare Provider Number
150051
Additional Details
Current Program Status
Active
Registration Date
7/6/2016
Participating Start Date
10/1/2016
Participating Approval Date
8/23/2016
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Indiana University Health
Jennifer M. Alvey, SVP & CFO
(317) 963-0213
Primary Contact
IU Health, Inc.
Jennifer Ann Hatchett, Senior Financial Analyst
(317) 962-4243
Addresses
Street Address
2651 EAST DISCOVERY PARKWAY
BLOOMINGTON, IN 47408
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/23/16 Participated as an RRC starting 4/1/2011, converting to a DSH EFFECTIVE 10/1/2016
08/23/2016
Participated as an RRC starting 4/1/2011, converting to a DSH 10/1/2016.
08/23/2016
May 2025
May 2025
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