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DSH150113D COMMUNITY HOSPITAL ANDERSON (Active)
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Main Details
Name
COMMUNITY HOSPITAL ANDERSON
Subdivision Name
COMMUNITY HOSPITAL ANDERSON ANTICOA - Anti-coagulation Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150113D
Medicare Provider Number
150113
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/5/2023
Participating Start Date
7/1/2023
Participating Approval Date
5/17/2023
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
1210B MEDICAL ARTS BLVD
SUITE 117
ANDERSON, IN 46011-3461
Billing Address
Community Hospital Anderson
1515 N Madison Ave
Anderson, IN 46011
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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