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DSH150023B UNION HOSPITAL INC. (Active)
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Main Details
Name
UNION HOSPITAL INC.
Subdivision Name
Union Hospital Radiation Therapy - Union Hospital Radiation Therapy outpatient
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150023B
Medicare Provider Number
150023
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/23/2024
Last Recertification Date
8/12/2024
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
1711 North 6 1/2 Street
1st Floor
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 10/1/2019. Reinstated 7/1/2024.
04/10/2024
May 2025
May 2025
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