340B Drug Pricing Program Database
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DSH190176AT 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 - Lakeview MAMMO - UHS - Lakeview MAMMO
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190176AT
Medicare Provider Number
190176
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/30/2024
Last Recertification Date
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
95 Judge Tanner Blvd
Covington, LA 70433
Billing Address
UHS - East Jefferson General Hospital
4200 Houma Blvd
Metairie, LA 70006
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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