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FQHCLA354D ASPIRE HEALTH CENTER (Active)
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Main Details
Name
ASPIRE HEALTH CENTER
Subdivision Name
Aspire Indiana Health - Hoak
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-028188
340B ID
FQHCLA354D
Grant Number
LALCS31260
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
3/4/2025
Contacts
Authorizing Official
Aspire Indiana Health, Inc.
Kevin Gregory Sheward, Vice President, Strategy & Business Development
(317) 587-0537
Primary Contact
Aspire Indiana Health
Logan Thomas Hansen, 340B Program Supervisor
(317) 860-7974
Addresses
Street Address
2009 Brown Street
Anderson, IN 46016-4216
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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