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FRANCISCAN ALLIANCE, INC.
RRC150162-00 FRANCISCAN HEALTH INDIANAPOLIS
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Covered Entity Details
Entity Name
FRANCISCAN HEALTH INDIANAPOLIS
Subdivision Name
Type
Rural Referral Center
340B ID
RRC150162-00
Entity Address
8111 S. EMERSON AVENUE
INDIANAPOLIS, IN 46237
Medicare Provider Number
150162
Participating Start Date
4/26/2021
Last Recertification Date
8/20/2024
Pharmacy Details
Pharmacy Name
FRANCISCAN ALLIANCE, INC.
Pharmacy Address
DBA FRANCISCAN HOME INFUSION PHARMACY LA
1501 HARTFORD ST RM G540
LAFAYETTE, IN 47904
Pharmacy Comments
Contract Details
Approval Date
1/12/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/30/2025
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Jay Brehm, CFO - Central Indiana
(317) 528-8953
Contract Pharmacy Representative
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Signed By Date
1/12/2023
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