340B Drug Pricing Program Database
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DSH190098 University Health Shreveport, LLC (Active)
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Main Details
Name
University Health Shreveport, LLC
Subdivision Name
UNIVERSITY HOSPITAL
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH190098
Medicare Provider Number
190098
Additional Details
Current Program Status
Active
Registration Date
3/10/2006
Participating Start Date
1/1/1998
Participating Approval Date
3/10/2006
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Ochsner LSU
Christopher Eric Mangin, CEO
(318) 205-2245
Primary Contact
BRFHH Shreveport LLC
Jason D Lafitte, Director of Pharmacy
(318) 626-0863
Addresses
Street Address
1541 KINGS HIGHWAY
SHREVEPORT, LA 71103
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/10/06 - REPLACES DSH6389
05/26/2010
April 2025
April 2025
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