Covered Entity Details

DSH190019N CHRISTUS ST FRANCES CABRINI HOSPITAL (Terminated) - information as of 4/29/2025 11:55:33 PM

Main Details

Name

CHRISTUS ST FRANCES CABRINI HOSPITAL

Subdivision Name

CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Urgent Care Clinic

Type

Disproportionate Share Hospital

Rural

340B ID

DSH190019N

Medicare Provider Number

190019

Outpatient Facility Provider Number

Additional Details

Current Program Status

Terminated

Registration Date

12/6/2013

Participating Start Date

1/1/2014

Participating Approval Date

12/9/2013

Last Recertification Date

8/30/2016

Termination Date
Termination Reason

4/1/2017
Site closure

Contacts

Authorizing Official

CHRISTUS St. Frances Cabrini
John P Shaughnessy, CFO
(318) 528-3550

Primary Contact

CHRISTUS Health
Scott Merryman, EVP/CFO
(318) 561-7172

Addresses

Street Address

3351 Masonic Drive
Alexandria, LA 71301

Billing Address

CHRISTUS St. Frances Cabrini Hospital
3330 Masonic Drive
Alexandria, LA 71301

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

CHRISTUS St. Frances Cabrini Hospital
3330 Masonic Drive
Alexandria, LA 71301

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
DSH190019A	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CHRISTUS Central Louisiana Imaging Center	3704 North Boulevard	Alexandria	LA	Active
DSH190019E	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CHRISTUS Health Central Louisiana Incarnate Word Community Clinic Ophthalmology Clinic	3351 Masonic Drive	Alexandria	LA	Terminated
DSH190019F	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Coumadin Clinic	3351 Masonic Drive	Alexandria	LA	Terminated
DSH190019G	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Specialty Care Clinic	3351 Masonic Drive	Alexandria	LA	Active
DSH190019H	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Gynacology Clinic	3351 Masonic Drive	Alexandria	LA	Terminated
DSH190019J	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Cardiology Clinic	3351 Masonic Drive	Alexandria	LA	Terminated
DSH190019K	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Primary/Urgent Care Clinic	3000 South MacArthur Drive	Alexandria	LA	Active
DSH190019L	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CHRISTUS Health Central Louisiana Incarnate Word Community Clinic Orthopedic Clinic	3351 Masonic Drive	Alexandria	LA	Terminated
DSH190019M	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Pediatric Care Clinic	3351 Masonic Drive	Alexandria	LA	Terminated
DSH190019N	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Urgent Care Clinic	3351 Masonic Drive	Alexandria	LA	Terminated
DSH190019P	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	Christus Community Clinic Pineville - Clinic	308 Griffith Street	Pineville	LA	Active
DSH190019Q	Child	DSH	CHRISTUS ST FRANCES CABRINI HOSPITAL	CANCER CENTER NORTH - Cancer Services	2108 TEXAS AVE	ALEXANDRIA	LA	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Profile Change Request	Shaughnessy, John P VP Finance CHRISTUS St. Frances Cabrini 3185283550	Shaughnessy, John P CFO CHRISTUS St. Frances Cabrini 3185283550	5/19/2020 1:21 PM
Contacts	Authorizing Official	Update	AO Change Request	Hellyer, Nancy CEO CHRISTUS Central Louisiana 3185617173	Shaughnessy, John P VP Finance CHRISTUS St. Frances Cabrini 3185283550	1/3/2019 12:10 PM
Contacts	Authorizing Official	Update		Hellyer, Nancy CEO 3185617173	Hellyer, Nancy CEO CHRISTUS Central Louisiana 3185617173	9/22/2017 9:28 AM
Contacts	Primary Contact	Update		Merryman, Scott EVP/CFO 3185617172	Merryman, Scott EVP/CFO CHRISTUS Health 3185617172	9/20/2017 10:13 AM
Contacts	Primary Contact	Insert			Merryman, Scott EVP/CFO 3185617172	8/8/2017 12:11 PM
Contacts	Signed By	Insert			Wright, Stephen F. President and CEO 3184486701	8/8/2017 12:11 PM
Contacts	Authorizing Official	Insert			Hellyer, Nancy CEO 3185617173	8/8/2017 12:11 PM
Addresses	Main Address	Insert			3351 Masonic Drive Alexandria, LA 71301	3/3/2017 2:57 PM
Addresses	Billing Address	Insert			CHRISTUS St. Frances Cabrini Hospital 3330 Masonic Drive Alexandria, LA 71301	3/3/2017 2:57 PM
Addresses	Shipping Address	Insert			CHRISTUS St. Frances Cabrini Hospital 3330 Masonic Drive Alexandria, LA 71301	3/3/2017 2:57 PM
Dates	Last Date That 340B Drugs Purchased	Update			2/22/2017 12:00:00 AM	3/3/2017 2:57 PM
Details	State	Update		Active	Terminated	3/3/2017 2:57 PM
Terminations	Termination Date	Update			4/1/2017 12:00:00 AM	3/3/2017 2:57 PM
Terminations	Termination Effective Date	Update			2/22/2017 12:00:00 AM	3/3/2017 2:57 PM
Terminations	Termination Reason	Update			Site closure	3/3/2017 2:57 PM
Details	Last Recertification Date	Update		8/19/2015 12:00:00 AM	8/30/2016 12:00:00 AM	8/31/2016 5:41 PM
Details	Last Recertification Date	Update		8/15/2014 12:00:00 AM	8/19/2015 12:00:00 AM	8/19/2015 10:08 AM
Details	Last Recertification Date	Update			8/15/2014 12:00:00 AM	8/15/2014 7:44 AM
Dates	Participating Approval Date	Update			12/9/2013 12:00:00 AM	12/9/2013 12:28 PM
Details	State	Update		Pending	Active	12/9/2013 12:28 PM
Dates	Start Date	Update			1/1/2014 12:00:00 AM	12/9/2013 12:28 PM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG	DSH190019N	12/9/2013 11:26 AM
Details	Last Recertification Date	Insert				12/6/2013 2:27 PM
Details	Grant Number	Insert				12/6/2013 2:27 PM
Details	340B ID	Insert			OUTPATIENT_ONLINE_REG	12/6/2013 2:27 PM
Details	Is Authorizing Official EHB Data	Insert				12/6/2013 2:27 PM
Dates	Last Date That 340B Drugs Purchased	Insert				12/6/2013 2:27 PM
Details	Medicare Provider Number	Insert			190019	12/6/2013 2:27 PM
Details	Entity Name	Insert			CHRISTUS ST FRANCES CABRINI HOSPITAL	12/6/2013 2:27 PM
Details	Program Code	Insert			DSH	12/6/2013 2:27 PM
Details	Entity Subname	Insert			CHRISTUS Health Central Louisiana Incarnate Word Community Clinic - Urgent Care Clinic	12/6/2013 2:27 PM
Dates	Participating Approval Date	Insert				12/6/2013 2:27 PM
Details	State	Insert			Pending	12/6/2013 2:27 PM
Dates	Registration Date	Insert			12/6/2013 12:00:00 AM	12/6/2013 2:27 PM
Dates	Signed By Date	Insert			12/6/2013 12:00:00 AM	12/6/2013 2:27 PM
Dates	Start Date	Insert				12/6/2013 2:27 PM
Terminations	Termination Comments	Insert				12/6/2013 2:27 PM
Terminations	Termination Date	Insert				12/6/2013 2:27 PM
Terminations	Termination Effective Date	Insert				12/6/2013 2:27 PM
Terminations	Termination Reason	Insert				12/6/2013 2:27 PM