340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
COMMUNITY HOSPITAL
FQHCLA391N 219 HEALTH NETWORK INC
Print
Covered Entity Details
Entity Name
219 HEALTH NETWORK INC
Subdivision Name
219 Health Network Inc
Type
Health Center Program Look-Alike
340B ID
FQHCLA391N
Entity Address
800 Macarthur Blvd Ste 5
Munster, IN 46321-2917
Grant Number
LALCS32751
Participating Start Date
7/1/2022
Last Recertification Date
2/11/2025
Pharmacy Details
Pharmacy Name
COMMUNITY HOSPITAL
Pharmacy Address
THE MUNSTER MED RES FOUNDATION
901 MACARTHUR BLVD
MUNSTER, IN 46321
Pharmacy Comments
Contract Details
Approval Date
10/17/2022
Contract Begin Date
1/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Patricia A Johnson, CEO
(219) 703-2585
Contract Pharmacy Representative
St Catherine Hospital
Elizabeth Ann Clements, Director of 340B Program
(219) 703-1236
Signed By Date
10/17/2022
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session