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COMMUNITY HOSPITAL NORTH SPECIALTY PHARM
DSH150113 COMMUNITY HOSPITAL ANDERSON
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Covered Entity Details
Entity Name
COMMUNITY HOSPITAL ANDERSON
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150113
Entity Address
1515 NORTH MADISON AVE
ANDERSON, IN 46011
Medicare Provider Number
150113
Participating Start Date
4/1/2021
Last Recertification Date
8/12/2024
Pharmacy Details
Pharmacy Name
COMMUNITY HOSPITAL NORTH SPECIALTY PHARM
Pharmacy Address
DBA COMMUNITY HEALTH NETWORK SPECIALTY P
7250 CLEARVISTA DR STE 140
INDIANAPOLIS, IN 46256
Pharmacy Comments
Contract Details
Approval Date
1/14/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
10/1/2020
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Beth Tharp, SVP/President of Hospital Services
(765) 298-5125
Contract Pharmacy Representative
CHN Specialty Pharmacy
Zachary L Roberts, Executive Director
(317) 621-3100
Signed By Date
1/14/2019
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