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DSH150090 FRANCISCAN HEALTH- DYER (ToBeTerminated)
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Main Details
Name
FRANCISCAN HEALTH- DYER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150090
Medicare Provider Number
150090
Additional Details
Current Program Status
ToBeTerminated
Registration Date
10/11/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/1/2023
Last Recertification Date
8/23/2024
Termination Date
Termination Reason
7/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Franciscan Alliance
Pamela Jo Ott, Chief Financial Officer
(219) 228-1015
Primary Contact
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Addresses
Street Address
24 JOLIET STREET
DYER, IN 46311-1799
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
May 2025
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