340B Drug Pricing Program Database
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DSH190065A BATON ROUGE GENERAL MEDICAL CENTER (Terminated)
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Main Details
Name
BATON ROUGE GENERAL MEDICAL CENTER
Subdivision Name
Bluebonnet
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190065A
Medicare Provider Number
190065
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
9/22/2005
Participating Start Date
9/22/2005
Participating Approval Date
9/22/2005
Last Recertification Date
8/17/2021
Termination Date
Termination Reason
10/1/2021
Business decision by the Covered Entity
Contacts
Authorizing Official
Baton Rouge General Medical Center
Kendall Johnson, CFO
(225) 237-1645
Primary Contact
Baton Rouge General Medical Center
Raneesha Ford, 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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10/4/05 UPDATED ADDR (WAS 8490 PICARDY AVE)
01/13/2010
April 2025
April 2025
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