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CH051741L SHALOM HEALTH CARE CENTER INC (Active)
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Main Details
Name
SHALOM HEALTH CARE CENTER INC
Subdivision Name
Dr. Arthur Galstian - Shalom OBGYN Practice
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036319
340B ID
CH051741L
Grant Number
H80CS00880
Additional Details
Current Program Status
Active
Registration Date
7/14/2023
Participating Start Date
10/1/2023
Participating Approval Date
7/19/2023
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Shalom Health Care Center
Leonardo R. Ortega, Executive Director/CEO
(317) 291-7422 Ext: 1105
Primary Contact
Shalom Health Center
Bianca Daisy-Bell, Clinical Pharmacist
(317) 291-7422 Ext: 1422
Addresses
Street Address
9240 N Meridian STE 180
Indianapolis, IN 46260
Billing Address
SHALOM HEALTH CARE CENTER, INC
3400 Lafayette Rd Ste 200
Indianapolis, IN 46222-1147
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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