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DSH190176AN University Healthcare System.L.C. d/b/a East Jefferson General Hospital (Active)
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Main Details
Name
University Healthcare System.L.C. d/b/a East Jefferson General Hospital
Subdivision Name
UHS Lakeside Dermatology Clinic - Dermatology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190176AN
Medicare Provider Number
190176
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
5/6/2024
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
LCMC Health
Bradley Scott Sinclair, CFO
(504) 962-6048
Primary Contact
University Healthcare System
Joanna Wood Bowles, Director of Pharmacy
(985) 867-4036
Addresses
Street Address
4720 South I-10 Service Road W Suite 201
Metarie, LA 70001
Billing Address
University Healthcare System.L.C. d/b/a East Jefferson General Hospital
4200 Houma Blvd.
Metairie, LA 70006
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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