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DSH150100 ST. MARYS MEDICAL CENTER D/B/A ASCENSION ST VINCENT EVANSVILLE (Active)
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Main Details
Name
ST. MARYS MEDICAL CENTER D/B/A ASCENSION ST VINCENT EVANSVILLE
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150100
Medicare Provider Number
150100
Additional Details
Current Program Status
Active
Registration Date
4/12/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/24/2018
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Ascension St. Vincent Evansville
Alexander Chang, President
(812) 485-1506
Primary Contact
Ascension
Jason Ashby, 340B Director
(812) 454-3218
Addresses
Street Address
3700 WASHINGTON AVE
EVANSVILLE, IN 47750
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2018, terminated 4/1/2018. Reinstated 7/1/2018.
04/24/2018
May 2025
May 2025
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