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CH05311V INDIANA HEALTH CENTERS INCORPORATED (Terminated)
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Main Details
Name
INDIANA HEALTH CENTERS INCORPORATED
Subdivision Name
Project Homecoming at YWCA Facility
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006932
340B ID
CH05311V
Grant Number
H80CS00668
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2017
Participating Start Date
7/1/2017
Participating Approval Date
5/15/2017
Last Recertification Date
2/2/2022
Termination Date
Termination Reason
4/1/2023
Business decision by the Covered Entity
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 Ext: 4124
Addresses
Street Address
802 N LAFAYETTE BLVD
SOUTH BEND, IN 46601
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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