340B Drug Pricing Program Database
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RRC150128-00 COMMUNITY HOSPITAL SOUTH (Active)
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Main Details
Name
COMMUNITY HOSPITAL SOUTH
Subdivision Name
Type
Rural Referral Center
Rural
No
340B ID
RRC150128-00
Medicare Provider Number
150128
Additional Details
Current Program Status
Active
Registration Date
10/14/2020
Participating Start Date
1/1/2021
Participating Approval Date
11/19/2020
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
1402 EAST COUNTY LINE ROAD
INDIANAPOLIS, IN 46227
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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