340B Drug Pricing Program Database
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CHC26566-17 Jane Pauley Community Health Center, Inc. (Active)
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Main Details
Name
Jane Pauley Community Health Center, Inc.
Subdivision Name
Jane Pauley Community Health Center at Arlington
Type
HRSA-Funded Health Center
Site ID
BPS-H80-021296
340B ID
CHC26566-17
Grant Number
H80CS26566
Additional Details
Current Program Status
Active
Registration Date
7/5/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/6/2018
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Jane Pauley Community Health Center
Aaron Knapp, Dir of Pharmacy Operations
(812) 632-0917
Primary Contact
Jane Pauley Community Health Center
Dale Marion, 340B Program Manager
(317) 552-0690
Addresses
Street Address
1315 N Arlington Ave
Indianapolis, IN 46219-3278
Billing Address
Jane Pauley Community Health Center
1503 Mitthoeffer Road
Indianapolis, IN 46229
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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