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DSH150023 UNION HOSPITAL INC. (Active)
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Main Details
Name
UNION HOSPITAL INC.
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150023
Medicare Provider Number
150023
Additional Details
Current Program Status
Active
Registration Date
12/21/2021
Participating Start Date
12/28/2021
Participating Approval Date
12/28/2021
Last Recertification Date
8/23/2024
Contacts
Authorizing Official
Union Hospital, Inc
James Schrader, Chief Strategy and Bus Dev Officer
(812) 238-7249
Primary Contact
Union Health System
Tammie Brown, System Director of Finance
(812) 238-4939
Addresses
Street Address
1606 NORTH SEVENTH ST
TERRE HAUTE, IN 47804
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 7/1/2019, terminated 8/3/2021. Reinstated 12/28/2021.
12/28/2021
May 2025
May 2025
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