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DSH150088 ST. VINCENT ANDERSON REGIONAL HOSPITAL D/B/A ASCENSION ST. VINCENT ANDERSON (Active)
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Main Details
Name
ST. VINCENT ANDERSON REGIONAL HOSPITAL D/B/A ASCENSION ST. VINCENT ANDERSON
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150088
Medicare Provider Number
150088
Additional Details
Current Program Status
Active
Registration Date
10/4/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/19/2016
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Ascension St. Vincent Indiana North Region
Parveen Chand, President
(317) 582-7402
Primary Contact
Ascension
Jason Ashby, 340B Director
(812) 454-3218
Addresses
Street Address
2015 JACKSON STREET
ANDERSON, IN 46016
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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07/06/2016
April 2025
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