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CH05311H INDIANA HEALTH CENTERS INCORPORATED (Active)
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Main Details
Name
INDIANA HEALTH CENTERS INCORPORATED
Subdivision Name
Indiana Health Center @ South Bend
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001232
340B ID
CH05311H
Grant Number
H80CS00668
Additional Details
Current Program Status
Active
Registration Date
7/1/1998
Participating Start Date
7/1/1998
Participating Approval Date
3/10/2004
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Indiana Health Centers, Inc.
Nicole Meyer, COO
(317) 576-1335 Ext: 4137
Primary Contact
Indiana Health Centers, Inc.
Ann Lundy, CEO
(317) 576-1335
Addresses
Street Address
1901 WEST WESTERN AVE STE B
SOUTH BEND, IN 46619-3521
Billing Address
Indiana Health Centers, Inc.
8003 Castleway Drive
Indianapolis, IN 46250
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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CORRECTED ENTITY NAME, NEW CONTACT
03/10/2004
April 2025
April 2025
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