340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
FRANCISCAN ALLIANCE, INC.
DSH150015 FRANCISCAN HEALTH MICHIGAN CITY
Print
Covered Entity Details
Entity Name
FRANCISCAN HEALTH MICHIGAN CITY
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150015
Entity Address
3500 FRANCISCAN WAY
MICHIGAN CITY, IN 46360
Medicare Provider Number
150015
Participating Start Date
10/1/2024
Last Recertification Date
Pharmacy Details
Pharmacy Name
FRANCISCAN ALLIANCE, INC.
Pharmacy Address
DBA FRANCISCAN HOME INFUSION PHARMACY MU
757 45TH AVE
SUITE 102
MUNSTER, IN 46321
Pharmacy Comments
Contract Details
Approval Date
10/25/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2019
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Trish L. Weber, VP Operations/CNO
(219) 877-1766
Contract Pharmacy Representative
Franciscan Alliance
Eugene Harber, Corporate Pharmacy Manager, 340b Operations
(219) 932-2300 Ext: 35561
Signed By Date
10/12/2018
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session