340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FQHCLA359C Southern Indiana Community Health Care Inc (Terminated)
Print
Main Details
Name
Southern Indiana Community Health Care Inc
Subdivision Name
Crawford Family Medicine
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-021367
340B ID
FQHCLA359C
Grant Number
LALCS31528
Additional Details
Current Program Status
Terminated
Registration Date
12/12/2017
Participating Start Date
1/1/2018
Participating Approval Date
12/14/2017
Last Recertification Date
2/19/2019
Termination Date
Termination Reason
4/1/2020
Failure to recertify
Contacts
Authorizing Official
Southern Indiana Community Health Care
Nancy Radcliff, CEO
(812) 723-3944
Primary Contact
Southern Indiana Community Health Care
Katarina Koch, Fund development manager
(812) 272-4804
Addresses
Street Address
5604 E. White Oak Lane
Marengo, IN 47140
Billing Address
Southern Indiana Community Health Care
PO Box 270
Paoli, IN 47454
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session