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DSH190034 ABBEVILLE GENERAL HOSPITAL (Active)
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Main Details
Name
ABBEVILLE GENERAL HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH190034
Medicare Provider Number
190034
Additional Details
Current Program Status
Active
Registration Date
9/14/2005
Participating Start Date
9/15/2005
Participating Approval Date
9/15/2005
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Abbeville General Hospital
Wendy S. Broussard, Compliance/Privacy Officer
(337) 898-6112
Primary Contact
Abbeville General Hospital
Duane R. Dartez, Director of Pharmacy
(337) 898-6481
Addresses
Street Address
118 NORTH HOSPITAL DRIVE
ABBEVILLE, LA 70510
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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