340B Drug Pricing Program Database
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DSH150074BS Community Health Network, Inc. (Active)
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Main Details
Name
Community Health Network, Inc.
Subdivision Name
ADULT BEHAVIORAL HEALTH SERVICES - Warren Township Alcohol and Drug Services
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150074BS
Medicare Provider Number
150074
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/1/2018
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Community Health Network
Beth Tharp, SVP/President of Hospital Services
(765) 298-5125
Primary Contact
Community Health Network
Ashley Marie Harlow, Director, 340B and Strategic Pharmacy Revenue
(317) 621-1791
Addresses
Street Address
2040 N SHADELAND AVENUE
SUITE 250
INDIANAPOLIS, IN 46219-1712
Billing Address
COMMUNITY HEALTH NETWORK, INC
1500 N Ritter Ave
Indianapolis, IN 46219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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