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DSH150088D 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
ORTHOPEDIC SURGERY CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150088D
Medicare Provider Number
150088
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/6/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/19/2016
Last Recertification Date
8/23/2024
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
2610 ENTERPRISE DR.
ANDERSON, IN 46013
Billing Address
St. Vincent Anderson Regional Hospital, Inc.
2015 Jackson St.
Anderson, IN 46016
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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