340B Drug Pricing Program Database
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DSH190079B ST CHARLES PARISH HOSPITAL (Active)
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Main Details
Name
ST CHARLES PARISH HOSPITAL
Subdivision Name
OrmondPhyscalTherapy SCHM PR04 - DOSH OUTPATIENT REHAB SERVICES
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190079B
Medicare Provider Number
190079
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/31/2025
Last Recertification Date
Contacts
Authorizing Official
Ochsner Clinic Foundation
Courtney Garrett, CFO-Westbank & River Region
(504) 464-8690
Primary Contact
St Charles Parish Hospital
Dale Boudreaux, Director of Pharmacy
(985) 785-3697
Addresses
Street Address
105 Plantation Road
Destrehan, LA 70047
Billing Address
Ochsner Clinic Foundation - Accounts Payable
1201 Dickory Ave
New Orleans, LA 70123
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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