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DSH150056HG INDIANA UNIVERSITY HEALTH INC (Active)
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Main Details
Name
INDIANA UNIVERSITY HEALTH INC
Subdivision Name
RADIOLOGY-THERAPEUTIC - Precision Genomics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150056HG
Medicare Provider Number
150056
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/17/2018
Participating Start Date
10/1/2018
Participating Approval Date
8/7/2018
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Indiana University Health
Jennifer M. Alvey, SVP & CFO
(317) 963-0213
Primary Contact
IU Health, Inc.
Jennifer Ann Hatchett, Senior Financial Analyst
(317) 962-4243
Addresses
Street Address
1030 W. Michigan Street
3307
Indianapolis, IN 46202
Billing Address
IU Health Methodist Hospital
1701 N. Senate Blvd
Indianapolis, IN 46202
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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