Covered Entity Details

CAH191324-00 OCHSNER BAYOU LLC (Active) - information as of 6/13/2025 2:56:06 PM

Main Details

Name

OCHSNER BAYOU LLC

Subdivision Name

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH191324-00

Medicare Provider Number

191324

Additional Details

Current Program Status

Active

Registration Date

10/15/2015

Participating Start Date

1/1/2016

Participating Approval Date

11/17/2015

Last Recertification Date

8/29/2024

Contacts

Authorizing Official

Ochsner St. Anne Hospital
Erika Anderson, CFO - Bayou Region
(985) 850-2370

Primary Contact

Ochsner St. Anne
Michael Battaglia, Director of Pharmacy
(985) 873-1380

Addresses

Street Address

4608 HIGHWAY 1
RACELAND, LA 70394

Billing Address

Ochsner Clinic Foundation - Accounts Payable
1201 Dickory Ave
New Orleans, LA 70123

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?
Yes

State	Medicaid Number	NPI Number
MS	1353247	1396761805
TX	384161101	1396761805
NM	1396761805	1396761805
LA	1734357	1396761805

Shipping Addresses

Same as Street Address

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Termination Date	Last Updated On
Contract Detail	COMMCARE PHARMACY-FTL, LLC	855 SW 78TH AVE STE C100		PLANTATION	FL	33324-3223	01/17/2017	04/01/2017	10/11/2022	10/12/2022
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05304	4572 HWY 1	RACELAND	LA	70394	07/15/2020	10/01/2020		05/29/2025
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05297	201 N. CANAL BLVD.	THIBODAUX	LA	70301	07/26/2023	10/01/2023		05/29/2025
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05611	9407 E PARK AVE	HOUMA	LA	70363	07/26/2023	10/01/2023		05/29/2025
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05432	16804 W. MAIN ST	CUT OFF	LA	70345	07/26/2023	10/01/2023		05/29/2025
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	CVS/PHARMACY # 10885	1420 ST. CHARLES STREET	HOUMA	LA	70360	10/11/2023	01/01/2024		05/29/2025
Contract Detail	LOUISIANA CVS PHARMACY, L.L.C.	DBA: CVS/PHARMACY # 05338	7015 PARK AVE	HOUMA	LA	70364	10/11/2023	01/01/2024		05/29/2025
Contract Detail	OCHSNER PHARMACY	1514 JEFFERSON HIGHWAY		NEW ORLEANS	LA	70121	04/19/2016	07/01/2016	10/10/2016	10/10/2016
Contract Detail	OCHSNER PHARMACY AND WELLNESS - KENNER	200 W ESPLANADE AVE STE 106	OCHSNER HOSPITAL	KENNER	LA	70065	04/11/2025	07/01/2025		05/29/2025
Contract Detail	OCHSNER PHARMACY AND WELLNESS LLC	DBA - OCHSNER PHARMACY AND WELLNESS - DE	13100 RIVER RD STE 110	DESTREHAN	LA	70047-5216	04/19/2016	07/01/2016		05/29/2025
Contract Detail	OCHSNER PHARMACY AND WELLNESS LLC	DBA OCHSNER PHARMACY AND WELLNESS - MAIN	1514 JEFFERSON HWY	NEW ORLEANS	LA	70121	09/22/2016	09/27/2016		05/29/2025
Contract Detail	OCHSNER PHARMACY AND WELLNESS LLC	DBA OCHSNER SPECIALTY PHARMACY - BATON R	11200 INDUSTRIPLEX BLVD STE 160	BATON ROUGE	LA	70809	04/04/2022	07/01/2022		05/29/2025
Contract Detail	OCHSNER PHARMACY AND WELLNESS- ST. ANNE	108 ACADIA PARK DR		RACELAND	LA	70394	07/15/2016	10/01/2016		05/29/2025
Contract Detail	OCHSNER SPECIALTY PHARMACY	1405 JEFFERSON HWY	SUITE A	NEW ORLEANS	LA	70121	04/19/2016	07/01/2016		05/29/2025
Contract Detail	WAL-MART PHARMACY #10-0761	4858 HIGHWAY 1		RACELAND	LA	70394	04/16/2021	07/01/2021		05/29/2025
Contract Detail	Walmart Pharmacy 10-7611	2501 Perry Rd		Plainfield	IN	46168	10/11/2023	01/01/2024		05/29/2025

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAH191324-01	Child	CAH	OCHSNER BAYOU LLC	Urology BAYP HW03 - St Anne Urology	141 TWIN OAKS DRIVE	RACELAND	LA	Terminated
CAH191324-02	Child	CAH	OCHSNER BAYOU LLC	Psychiatry BAYP HW03 - SSCC PSYCHIATRY	141 TWIN OAKS DRIVE	RACELAND	LA	Active
CAH191324-03	Child	CAH	OCHSNER BAYOU LLC	Neurology BAYP HW03 - SSCC NEUROLOGY	141 TWIN OAKS DRIVE	RACELAND	LA	Active
CAH191324-04	Child	CAH	OCHSNER BAYOU LLC	Specialty Clinic BAYP TO01 - St Anne Specialty Clinic	141 TWIN OAKS DRIVE	RACELAND	LA	Active
CAH191324-05	Child	CAH	OCHSNER BAYOU LLC	Pain Management BAYP HW03 - SSCC PAIN MANAGEMENT	141 TWIN OAKS DRIVE	RACELAND	LA	Active
CAH191324-06	Child	CAH	OCHSNER BAYOU LLC	Family Health Ctr BAYP AP03 - MATC FAMILY MEDICINE	111 ACADIA PARK DRIVE	RACELAND	LA	Active
CAH191324-07	Child	CAH	OCHSNER BAYOU LLC	Colon & Rectal BAYP CS03 - SSCC COLON AND RECTAL SURGERY	141 TWIN OAKS DRIVE	RACELAND	LA	Active
CAH191324-08	Child	CAH	OCHSNER BAYOU LLC	Internal Medicine BAYP HW03 - STAC INTERNAL MEDICINE II	106 CYPRESS STREET	RACELAND	LA	Active
CAH191324-09	Child	CAH	OCHSNER BAYOU LLC	Obstetric&Gynecology BAYP AP02 - RACC GYNECOLOGY ULTRASOUND	104 ACADIA PARK DRIVE	RACELAND	LA	Active
CAH191324-10	Child	CAH	OCHSNER BAYOU LLC	Smoking Cessation BAYP CS03 - STAC SMOKING CESSATION AND TOBACCO TRUST	106 Cypress St.	Raceland	LA	Active
CAH191324-11	Child	CAH	OCHSNER BAYOU LLC	Endocrinology Clinic BAYP TO01 - SSCC ENDOCRINOLOGY	141 Twin Oaks Drive	Raceland	LA	Active
CAH191324-12	Child	CAH	OCHSNER BAYOU LLC	Orthopedic BAYP TO01 - SSCC ORTHOPEDICS	141 Twin Oaks Drive	Raceland	LA	Active
CAH191324-13	Child	CAH	OCHSNER BAYOU LLC	Thibodaux Surgical BAYP TO01 - SSCC GENERAL SURGERY	141 Twin Oaks Drive	Raceland	LA	Active
CAH191324-14	Child	CAH	OCHSNER BAYOU LLC	Infusion Center BAYH HW03 - STAH INFUSION CENTER	4608 Highway One	Raceland	LA	Active

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Dates	Last Date That 340B Drugs Purchased	Update	OPA Cancel Termination Request	5/28/2025 12:00:00 AM		5/29/2025 1:35 PM
Details	State	Update	OPA Cancel Termination Request	To Be Terminated	Active	5/29/2025 1:35 PM
Terminations	Termination Comments	Update	OPA Cancel Termination Request	Entity DSH% fell below threshold		5/29/2025 1:35 PM
Terminations	Termination Date	Update	OPA Cancel Termination Request	7/1/2025 12:00:00 AM		5/29/2025 1:35 PM
Terminations	Termination Effective Date	Update	OPA Cancel Termination Request	5/28/2025 12:00:00 AM		5/29/2025 1:35 PM
Terminations	Termination Reason	Update	OPA Cancel Termination Request	DSH percentage below statutory minimum		5/29/2025 1:35 PM
Dates	Last Date That 340B Drugs Purchased	Update	Termination Request		5/28/2025 12:00:00 AM	5/29/2025 11:48 AM
Details	State	Update	Termination Request	Active	To Be Terminated	5/29/2025 11:48 AM
Terminations	Termination Comments	Update	Termination Request		Entity DSH% fell below threshold	5/29/2025 11:48 AM
Terminations	Termination Date	Update	Termination Request		7/1/2025 12:00:00 AM	5/29/2025 11:48 AM
Terminations	Termination Effective Date	Update	Termination Request		5/28/2025 12:00:00 AM	5/29/2025 11:48 AM
Terminations	Termination Reason	Update	Termination Request		DSH percentage below statutory minimum	5/29/2025 11:48 AM
Details	Last Recertification Date	Update	Recertification	9/8/2023 10:50:05 AM	8/29/2024 12:48:02 PM	8/29/2024 12:48 PM
Details	Last Recertification Date	Update	Recertification	9/2/2022 7:48:50 AM	9/8/2023 10:50:05 AM	9/8/2023 10:50 AM
Contacts	Authorizing Official	Update	AO Change Request	Awad, Juan Chief Executive Officer Ochsner Health 9855372656	Anderson, Erika CFO - Bayou Region Ochsner St. Anne Hospital 9858502370	7/3/2023 6:26 AM
Contacts	Authorizing Official	Update	Profile Change Request	Awad, Juan Chief Operating Officer Ochsner Health 9855372656	Awad, Juan Chief Executive Officer Ochsner Health 9855372656	9/6/2022 10:43 AM
Details	Last Recertification Date	Update	Recertification	8/17/2021 12:12:44 PM	9/2/2022 7:48:50 AM	9/2/2022 7:48 AM
Contacts	Authorizing Official	Update	AO Change Request	Allen, Tim CEO Ochsner St. Anne 9855378377	Awad, Juan Chief Operating Officer Ochsner Health 9855372656	1/13/2022 9:19 AM
Details	Last Recertification Date	Update	Recertification	9/7/2020 9:19:31 AM	8/17/2021 12:12:44 PM	8/17/2021 12:12 PM
Medicaid Billing	Medicaid: Number	Delete	Recertification	1734357 (NJ)		9/7/2020 9:19 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/7/2020 9:19 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1396761805	9/7/2020 9:19 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		NM	9/7/2020 9:19 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1396761805	9/7/2020 9:19 AM
Medicaid Billing	NPI: State	Insert	Recertification		NM	9/7/2020 9:19 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1396761805	9/7/2020 9:19 AM
Medicaid Billing	NPI: State	Insert	Recertification		MS	9/7/2020 9:19 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1396761805	9/7/2020 9:19 AM
Medicaid Billing	NPI: State	Insert	Recertification		LA	9/7/2020 9:19 AM
Medicaid Billing	NPI: Number	Insert	Recertification		1396761805	9/7/2020 9:19 AM
Medicaid Billing	NPI: State	Insert	Recertification		TX	9/7/2020 9:19 AM
Medicaid Billing	NPI: Number	Delete	Recertification	1396761805 ( )		9/7/2020 9:19 AM
Details	Last Recertification Date	Update	Recertification	9/10/2019 10:12:31 AM	9/7/2020 9:19:31 AM	9/7/2020 9:19 AM
Addresses	Billing Address	Insert	Recertification		Ochsner Clinic Foundation - Accounts Payable 1201 Dickory Ave New Orleans, LA 70123	9/10/2019 10:12 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/10/2019 10:12 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1353247	9/10/2019 10:12 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		MS	9/10/2019 10:12 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/10/2019 10:12 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		1734357	9/10/2019 10:12 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		NJ	9/10/2019 10:12 AM
Medicaid Billing	Medicaid: Is Primary	Insert	Recertification		False	9/10/2019 10:12 AM
Medicaid Billing	Medicaid: Number	Insert	Recertification		384161101	9/10/2019 10:12 AM
Medicaid Billing	Medicaid: State	Insert	Recertification		TX	9/10/2019 10:12 AM
Details	Last Recertification Date	Update	Recertification	8/21/2018 1:49:52 PM	9/10/2019 10:12:31 AM	9/10/2019 10:12 AM
Details	Last Recertification Date	Update	Recertification	11/9/2017 1:00:02 PM	8/21/2018 1:49:52 PM	8/21/2018 1:49 PM
Details	Last Recertification Date	Update	Recertification	8/23/2016 12:00:00 AM	11/9/2017 1:00:02 PM	11/9/2017 1:00 PM
Contacts	Primary Contact	Update	Change Request	Gouaux, Jeanne Director of Pharmacy 9855378353	Battaglia, Michael Director of Pharmacy Ochsner St. Anne 9858731380	10/5/2017 3:21 PM
Contacts	Authorizing Official	Update		Allen, Tim CEO 9855378377	Allen, Tim CEO Ochsner St. Anne 9855378377	10/5/2017 3:05 PM
Contacts	Authorizing Official	Insert			Allen, Tim CEO 9855378377	1/17/2017 5:45 PM
Addresses	Main Address	Insert			4608 HIGHWAY 1 RACELAND, LA 70394	8/23/2016 11:11 AM
Contacts	Primary Contact	Insert			Gouaux, Jeanne Director of Pharmacy 9855378353	8/23/2016 11:11 AM
Contacts	Signed By	Insert			Saul, Athony CFO 9015963222	8/23/2016 11:11 AM
Details	Last Recertification Date	Update			8/23/2016 12:00:00 AM	8/23/2016 11:11 AM
Dates	Participating Approval Date	Update			11/17/2015 12:00:00 AM	11/17/2015 10:18 AM
Details	State	Update		Pending	Active	11/17/2015 10:18 AM
Dates	Start Date	Update			1/1/2016 12:00:00 AM	11/17/2015 10:18 AM
Details	340B ID	Update		DEL_11102015_56088	CAH191324-00	11/16/2015 10:44 AM
Details	State	Update		Rejected	Pending	11/16/2015 10:44 AM
Details	340B ID	Update		ONLINE_REG_56088	DEL_11102015_56088	11/10/2015 10:05 AM
Details	State	Update		Pending	Rejected	11/10/2015 10:05 AM
Details	340B ID	Update			ONLINE_REG_56088	10/15/2015 2:54 PM
Medicaid Billing	Medicaid: Is Primary	Insert			False	10/15/2015 2:54 PM
Medicaid Billing	Medicaid: Number	Insert			1734357	10/15/2015 2:54 PM
Medicaid Billing	Medicaid: State	Insert			LA	10/15/2015 2:54 PM
Medicaid Billing	NPI: Number	Insert			1396761805	10/15/2015 2:54 PM
Details	Last Recertification Date	Insert				10/15/2015 2:54 PM
Details	Grant Number	Insert				10/15/2015 2:54 PM
Details	340B ID	Insert				10/15/2015 2:54 PM
Details	Is Authorizing Official EHB Data	Insert				10/15/2015 2:54 PM
Dates	Last Date That 340B Drugs Purchased	Insert				10/15/2015 2:54 PM
Details	Medicare Provider Number	Insert			191324	10/15/2015 2:54 PM
Details	Entity Name	Insert			OCHSNER BAYOU LLC	10/15/2015 2:54 PM
Details	Program Code	Insert			CAH	10/15/2015 2:54 PM
Details	Entity Subname	Insert				10/15/2015 2:54 PM
Dates	Participating Approval Date	Insert				10/15/2015 2:54 PM
Details	State	Insert			Pending	10/15/2015 2:54 PM
Dates	Registration Date	Insert			10/15/2015 12:00:00 AM	10/15/2015 2:54 PM
Dates	Signed By Date	Insert			10/15/2015 12:00:00 AM	10/15/2015 2:54 PM
Dates	Start Date	Insert				10/15/2015 2:54 PM
Terminations	Termination Comments	Insert				10/15/2015 2:54 PM
Terminations	Termination Date	Insert				10/15/2015 2:54 PM
Terminations	Termination Effective Date	Insert				10/15/2015 2:54 PM
Terminations	Termination Reason	Insert				10/15/2015 2:54 PM