340B Drug Pricing Program Database
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DSH150109B FRANCISCAN HEALTH LAFAYETTE (Terminated)
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Main Details
Name
FRANCISCAN HEALTH LAFAYETTE
Subdivision Name
Adults & Pediatrics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150109B
Medicare Provider Number
150109
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/11/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/25/2016
Last Recertification Date
8/30/2018
Termination Date
Termination Reason
1/1/2019
Business decision by the Covered Entity
Contacts
Authorizing Official
Franciscan Health
Jason Geddes, Regional CFO
(765) 502-4599
Primary Contact
Franciscan Alliance
Eugene Harber, Corporate Pharmacy Manager, 340b Operations
(219) 932-2300 Ext: 35561
Addresses
Street Address
1501 Hartford St.
Lafayette, IN 47904
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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