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DSH150074BT Community Health Network, Inc. (Terminated)
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Main Details
Name
Community Health Network, Inc.
Subdivision Name
COMMUNITY INFUSION CENTER-SPEEDWAY - Infusion Center Speedway
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150074BT
Medicare Provider Number
150074
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/7/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/26/2020
Last Recertification Date
8/12/2024
Termination Date
Termination Reason
1/1/2025
Hospital Outpatient facility no longer eligible
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
1011 MAIN ST
STE 150
SPEEDWAY, IN 46224-6978
Billing Address
Community Hospitals of Indiana, Inc.
1500 N. Ritter Ave
indianapolis, IN 46219
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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