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DSH190045U ST. TAMMANY PARISH HOSPITAL (Active)
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Main Details
Name
ST. TAMMANY PARISH HOSPITAL
Subdivision Name
St. Tammany Pediatrics and Express Care for Kids - Pediatrics
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190045U
Medicare Provider Number
190045
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/1/2024
Last Recertification Date
Contacts
Authorizing Official
St. Tammany Parish Hospital
Sandra DiPietro, Senior Vice President/Chief Financial Officer
(985) 898-4583
Primary Contact
St. Tammany Parish Hospital
Lesleigh Hall, AVP Legal Affairs
(985) 871-5830
Addresses
Street Address
3663 US Highway 190
Suite 100
Mandeville, LA 70471
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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