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DSH190017H OPELOUSAS GENERAL HOSPITAL (Active)
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Main Details
Name
OPELOUSAS GENERAL HOSPITAL
Subdivision Name
Wellsmart Health of Opelousas - RHC - Wellsmart Health of Opelousas - RHC
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190017H
Medicare Provider Number
190017
Outpatient Facility Provider Number
256162
Additional Details
Current Program Status
Active
Registration Date
10/11/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/18/2024
Last Recertification Date
Contacts
Authorizing Official
190017
Jim Juneau, CFO
(337) 948-5133
Primary Contact
190017
Trey Turner, Pharmacy Manager
(337) 948-3884
Addresses
Street Address
1200 Hospital Drive
Suite 5
Opelousas, LA 70570
Billing Address
Opelousas General Health System
539 E Prudhomme St
Opelousas, LA 70570
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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