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DSH150146 COMMUNITY HOSPITAL OF NOBLE CTY INC (Approved)
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Main Details
Name
COMMUNITY HOSPITAL OF NOBLE CTY INC
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150146
Medicare Provider Number
150146
Additional Details
Current Program Status
Approved
Registration Date
4/1/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/7/2025
Last Recertification Date
Contacts
Authorizing Official
Parkview Health System
Stanton Risser, Assoc Chief Financial Officer
(260) 266-9313
Primary Contact
Parkview Health
Stephanie Dickmeyer, 340B Program Supervisor
(260) 266-4408
Addresses
Street Address
401 SAWYER ROAD
KENDALLVILLE, IN 46755-0728
Billing Address
Parkview Memorial Hospital, INC
2200 Randallia Dr
Fort Wayne, IN 46805
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating from effective date: (07/01/2017) until terminated effective date: (07/01/2019), reinstatement effective date: (07/1/2025)
04/07/2025
April 2025
April 2025
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