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DSH150084P 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 MEDICATION MANAGEMENT - Medication Management Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150084P
Medicare Provider Number
150084
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/7/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/11/2023
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
8220 NAAB RD
STE 102
INDIANAPOLIS, IN 46260-1933
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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