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DSH190065 BATON ROUGE GENERAL MEDICAL CENTER (Active)
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Main Details
Name
BATON ROUGE GENERAL MEDICAL CENTER
Subdivision Name
Mid City
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190065
Medicare Provider Number
190065
Additional Details
Current Program Status
Active
Registration Date
9/16/2005
Participating Start Date
9/16/2005
Participating Approval Date
9/16/2005
Last Recertification Date
9/8/2024
Contacts
Authorizing Official
Baton Rouge General Medical Center
Kendall Johnson, CFO
(225) 237-1645
Primary Contact
Baton Rouge General Medical Center
Brett Dragomer, Director, Pharmacy Services
(225) 763-4087
Addresses
Street Address
8585 Picardy Ave.
BATON ROUGE, LA 70809
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/23/11 change AO/PC from Munn/Viator to Johnson/Jarratt JH
12/23/2011
April 2025
April 2025
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