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CH05311A INDIANA HEALTH CENTERS INCORPORATED (Active)
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Main Details
Name
INDIANA HEALTH CENTERS INCORPORATED
Subdivision Name
IHC @ Kokomo & WIC Program
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004926
340B ID
CH05311A
Grant Number
H80CS00668
Additional Details
Current Program Status
Active
Registration Date
12/1/1992
Participating Start Date
12/1/1992
Participating Approval Date
11/10/2003
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Indiana Health Centers, Inc.
Nicole Meyer, COO
(317) 576-1335 Ext: 4137
Primary Contact
Indiana Health Centers, Inc.
Ann Lundy, CEO
(317) 576-1335
Addresses
Street Address
3118 S Lafountain St
Kokomo, IN 46902-3710
Billing Address
Indiana Health Centers, Inc.
8003 Castleway Drive
Indianapolis, IN 46250
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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11/10/2003
April 2025
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