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DSH190079 ST CHARLES PARISH HOSPITAL (Active)
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Main Details
Name
ST CHARLES PARISH HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190079
Medicare Provider Number
190079
Additional Details
Current Program Status
Active
Registration Date
1/8/2018
Participating Start Date
4/1/2018
Participating Approval Date
1/26/2018
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Ochsner Clinic Foundation
Courtney Garrett, CFO-Westbank & River Region
(504) 464-8690
Primary Contact
St Charles Parish Hospital
Dale Boudreaux, Director of Pharmacy
(985) 785-3697
Addresses
Street Address
1057 PAUL MAILLARD ROAD
LULING, LA 70070
Billing Address
Ochsner Clinic Foundation - Accounts Payable
1201 Dickory Ave
New Orleans, LA 70123
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2006, terminated 4/1/2016. Reinstated 4/1/2018.
01/26/2018
April 2025
April 2025
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