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DSH190128D WOMAN'S HOSPITAL FOUNDATION DBA WOMAN'S HOSPITAL (Approved)
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Main Details
Name
WOMAN'S HOSPITAL FOUNDATION DBA WOMAN'S HOSPITAL
Subdivision Name
WOMAN'S SPECIALTY CLINIC - Woman's Specialty Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190128D
Medicare Provider Number
190128
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/15/2025
Last Recertification Date
Contacts
Authorizing Official
Woman's Hospital Foundation
Nina Dusang, EVP/CFO
(225) 924-8101
Primary Contact
Woman's Hospital
Peggy Dean, Pharmacy Director
(225) 231-5359
Addresses
Street Address
500 RUE DE LA VIE
511
BATON ROUGE, LA 70817
Billing Address
WOMAN'S HOSPITAL
100 WOMAN'S WAY
BATON ROUGE, LA 70817
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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