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DSH150084L ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis (Active)
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Main Details
Name
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis
Subdivision Name
ST VINCENT PRIMARY CARE CENTER - PEDIATRIC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150084L
Medicare Provider Number
150084
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/24/2020
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Ascension St. Vincent, Central Region
Daniel Allen Parod, President
(317) 338-7094
Primary Contact
Ascension
Jason Ashby, 340B Director
(812) 454-3218
Addresses
Street Address
8414 NAAB ROAD
200
INDIANAPOLIS, IN 46260
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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