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COMMUNITY HOSPITAL NORTH SPECIALTY PHARM
DSH150074 Community Health Network, Inc.
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Covered Entity Details
Entity Name
Community Health Network, Inc.
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150074
Entity Address
1500 N. RITTER AVE.
INDIANAPOLIS, IN 46219
Medicare Provider Number
150074
Participating Start Date
4/1/2008
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
1/15/2019
Contract Begin Date
4/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Ownership change
Contacts
Covered Entity Signing Official
David Kiley, President
(317) 621-9337
Contract Pharmacy Representative
CHN Specialty Pharmacy
Zachary L Roberts, Executive Director
(317) 621-3100
Signed By Date
1/15/2019
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