340B Drug Pricing Program Database
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DSH190125V ST FRANCIS MEDICAL CENTER, INC (Active)
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Main Details
Name
ST FRANCIS MEDICAL CENTER, INC
Subdivision Name
SFMC Main Campus Oncology Service Line - SFMC Oncology and Hematology Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190125V
Medicare Provider Number
190125
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2024
Participating Start Date
4/1/2024
Participating Approval Date
2/1/2024
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
St. Francis Medical Center
Andrew D. LeBlanc, CFO
(318) 966-7369
Primary Contact
St. Francis Medical Center
Anna Michele Chop, Director, Pharmacy Services
(318) 966-7246
Addresses
Street Address
411 Calypso Street
Suite 200A
Monroe, LA 71201
Billing Address
FMOLHS Accounts Payable
P.O. Box 83880
Baton Rouge, LA 70884-3880
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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