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DSH150169P COMMUNITY HOSPITAL OF INDIANA INC. (Active)
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Main Details
Name
COMMUNITY HOSPITAL OF INDIANA INC.
Subdivision Name
Noblesville Infusion Center - Infusion Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150169P
Medicare Provider Number
150169
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2020
Participating Start Date
10/1/2020
Participating Approval Date
8/6/2020
Last Recertification Date
8/12/2024
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
9669 E 146th St.
140
Noblesville, IN 46060
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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