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COMMUNITY HOSPITAL NORTH SPECIALTY PHARM
RRC150128-00 COMMUNITY HOSPITAL SOUTH
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Covered Entity Details
Entity Name
COMMUNITY HOSPITAL SOUTH
Subdivision Name
Type
Rural Referral Center
340B ID
RRC150128-00
Entity Address
1402 EAST COUNTY LINE ROAD
INDIANAPOLIS, IN 46227
Medicare Provider Number
150128
Participating Start Date
1/1/2021
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
11/19/2020
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
10/15/2020
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