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FQHCLA354 ASPIRE HEALTH CENTER (Active)
Main Details
Name
ASPIRE HEALTH CENTER
Subdivision Name
Aspire Indiana Health - Carmel
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-021218
340B ID
FQHCLA354
Grant Number
LALCS31260
Contacts
Authorizing Official
Aspire Indiana Health, Inc.
Kevin Gregory Sheward, Director of Grants, Resource, and Fund Development
(317) 587-0537
Primary Contact
Aspire Indiana Health
Logan Thomas Hansen, 340B Program Supervisor
(317) 860-7974
Additional Details
Current Program Status
Active
Registration Date
10/18/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/13/2017
Last Recertification Date
2/15/2024
Addresses
Street Address
697 Pro-med Lane
Carmel, IN 46032-5323
Billing Address
Aspire Indiana Health
9615 E. 148th Street
Suite 1
Noblesville, IN 46060
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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