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COMMUNITY HOSPITAL NORTH SPECIALTY PHARM
DSH150169 COMMUNITY HOSPITAL OF INDIANA INC.
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Covered Entity Details
Entity Name
COMMUNITY HOSPITAL OF INDIANA INC.
Subdivision Name
Community Hospital North
Type
Disproportionate Share Hospital
340B ID
DSH150169
Entity Address
7150 CLEARVISTA DRIVE
INDIANAPOLIS, IN 46256
Medicare Provider Number
150169
Participating Start Date
4/1/2016
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
10/14/2020
Contract Begin Date
1/1/2021
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
David Kiley, President
(317) 621-9337
Contract Pharmacy Representative
Community Hospital North Specialty Pharmacy
Heidi Barnett, Director of Specialty Pharmacy
(317) 621-9122
Signed By Date
10/14/2020
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