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CHC26566-14 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 Ebbertt
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017651
340B ID
CHC26566-14
Grant Number
H80CS26566
Additional Details
Current Program Status
Terminated
Registration Date
7/13/2016
Participating Start Date
10/1/2016
Participating Approval Date
7/15/2016
Last Recertification Date
2/1/2022
Termination Date
Termination Reason
4/1/2023
Site closure
Contacts
Authorizing Official
Jane Pauley Community Health Center
Dale Marion, 340B Program Manager
(317) 552-0690
Primary Contact
Jane Pauley CHC
Michael Dale, CFO
(317) 934-0751
Addresses
Street Address
325 W. 38th Street
Anderson, IN 46013-4017
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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