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CH060190 OUTPATIENT MEDICAL CENTERS, INC. (Active)
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Main Details
Name
OUTPATIENT MEDICAL CENTERS, INC.
Subdivision Name
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003086
340B ID
CH060190
Grant Number
H80CS00513
Additional Details
Current Program Status
Active
Registration Date
1/17/2006
Participating Start Date
4/1/2006
Participating Approval Date
1/17/2006
Last Recertification Date
2/11/2025
Contacts
Authorizing Official
Outpatient Medical Center, Inc.
Harlan Mark Guidry, CEO
(318) 357-2071
Primary Contact
Outpatient Medical Center
Richard Bruce, Chief Operating Officer
(318) 357-2071
Addresses
Street Address
1640 Breazeale Springs Street
Natchitoches, LA 71457
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
April 2025
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