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RRC150162-01 FRANCISCAN HEALTH INDIANAPOLIS (Active)
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Main Details
Name
FRANCISCAN HEALTH INDIANAPOLIS
Subdivision Name
Franciscan Health Carmel Oncology Hematology Specialists Infusion - Infusion
Type
Rural Referral Center
Rural
Yes
340B ID
RRC150162-01
Medicare Provider Number
150162
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/12/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/10/2023
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
Franciscan Alliance
Amy Herron, Regional CFO
(317) 528-8470
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
North Meridian Medical Pavillion
12188 N Meridian St Bldg B, Suite 205
Carmel, IN 46032
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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