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DSH150002Q THE METHODIST HOSPITALS (Active)
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Main Details
Name
THE METHODIST HOSPITALS
Subdivision Name
METHODIST SURGICAL SERVICES / Radiology Ultrasound
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150002Q
Medicare Provider Number
150002
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/15/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/28/2024
Last Recertification Date
Contacts
Authorizing Official
Methodist Hospitals
Matthew Shawn Doyle, President & CEO
(219) 886-4608
Primary Contact
Methodist Hospital
Laura Majoch, Controller
(219) 886-5390
Addresses
Street Address
101 EAST 87TH AVE
MERRILLVILLE, IN 46410-7335
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2017, terminated 7/1/2020. Reinstated 1/1/2025.
10/24/2024
April 2025
April 2025
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