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DSH190118 DESOTO REGIONAL HEALTH SYSTEM (Active)
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Main Details
Name
DESOTO REGIONAL HEALTH SYSTEM
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190118
Medicare Provider Number
190118
Additional Details
Current Program Status
Active
Registration Date
6/1/2006
Participating Start Date
7/1/2006
Participating Approval Date
6/5/2006
Last Recertification Date
8/20/2024
Contacts
Authorizing Official
DeSoto Regional
TODD EPPLER, CEO
(318) 871-3132
Primary Contact
Desoto Regional Health System
Rebecca Holder, HIM Director
(318) 872-4610
Addresses
Street Address
207 JEFFERSON STREET
MANSFIELD, LA 71052
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/24/2010- DOC. RECD. TO CONFIRM ELIG. OWNERSHIP TYPE
03/24/2010
April 2025
April 2025
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