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DSH150015D FRANCISCAN HEALTH MICHIGAN CITY (Active)
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Main Details
Name
FRANCISCAN HEALTH MICHIGAN CITY
Subdivision Name
FRANCISCAN HEALTH MICHIGAN CITY - Woodland Surgery Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH150015D
Medicare Provider Number
150015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/11/2024
Participating Start Date
10/1/2024
Participating Approval Date
7/22/2024
Last Recertification Date
Contacts
Authorizing Official
Franciscan Alliance
Justin Kats, Division CFO - Crown Point & Michigan City
(219) 757-6403
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
8865 W 400 N STE 100
WOODLAND HEALTH CENTER
MICHIGAN CITY, IN 46360-9223
Billing Address
Franciscan Health Michigan City
3500 Franciscan Way
Michigan City, IN 46360
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating Start Date1/1/2019, Termination 7/1/2019, Reinstatement 10/1/2024
07/18/2024
April 2025
April 2025
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