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ST. VINCENT HOSPITAL AND HEALTH CARE CEN
DSH150084 ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis
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Covered Entity Details
Entity Name
ST. VINCENT HOSPITAL AND HEALTH CARE CENTER D/B/A Ascension St. Vincent Indianapolis
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150084
Entity Address
2001 WEST 86TH STREET
INDIANAPOLIS, IN 46260
Medicare Provider Number
150084
Participating Start Date
9/3/2008
Last Recertification Date
9/3/2024
Pharmacy Details
Pharmacy Name
ST. VINCENT HOSPITAL AND HEALTH CARE CEN
Pharmacy Address
D/B/A ASCENSION RX 1502
8414 NAAB RD STE 140
INDIANAPOLIS, IN 46260
Pharmacy Comments
Contract Details
Approval Date
10/9/2019
Contract Begin Date
1/1/2020
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/3/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Erica Lynn Wehrmeister, Regional President
(317) 338-7094
Contract Pharmacy Representative
St Vincent Hospital & Health Care
Wendy LeMasters, Ambulatory Pharmacy Director
(317) 338-7899
Signed By Date
10/9/2019
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