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DSH190008D Hospital Service District No. 1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System (Active)
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Main Details
Name
Hospital Service District No. 1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System
Subdivision Name
Terrebonne General Infectious Disease - Infectious Disease
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190008D
Medicare Provider Number
190008
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/10/2024
Participating Start Date
10/1/2024
Participating Approval Date
8/8/2024
Last Recertification Date
Contacts
Authorizing Official
Terrebonne General Medical Center
FRANCES DIANE YEATES, COO
(985) 873-4605
Primary Contact
Terrebonne General Health System
Andrea Gaudet, Pharmacy Director
(985) 873-4072
Addresses
Street Address
8120 Main St.
Ste. 304
Houma, LA 70360-3403
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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