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FRANCISCAN ALLIANCE, INC.
DSH150090 FRANCISCAN HEALTH- DYER
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Covered Entity Details
Entity Name
FRANCISCAN HEALTH- DYER
Subdivision Name
Type
Disproportionate Share Hospital
340B ID
DSH150090
Entity Address
24 JOLIET STREET
DYER, IN 46311-1799
Medicare Provider Number
150090
Participating Start Date
1/1/2024
Last Recertification Date
8/23/2024
Entity Termination Date
7/1/2025
Pharmacy Details
Pharmacy Name
FRANCISCAN ALLIANCE, INC.
Pharmacy Address
DBA FRANCISCAN HOME INFUSION PHARMACY MU
757 45TH AVE
SUITE 102
MUNSTER, IN 46321
Pharmacy Comments
Contract Details
Approval Date
11/1/2023
Contract Begin Date
1/1/2024
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
4/14/2025
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Pamela Jo Ott, Chief Financial Officer
(219) 228-1015
Contract Pharmacy Representative
Franciscan Health
Laura Shondell, Administrative Director Medication Systems and Operations
(765) 423-6900
Signed By Date
10/11/2023
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