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DSH190011 BRFHH Monroe LLC d/b/a Ochsner LSU Health Monroe (Active)
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Main Details
Name
BRFHH Monroe LLC d/b/a Ochsner LSU Health Monroe
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190011
Medicare Provider Number
190011
Additional Details
Current Program Status
Active
Registration Date
9/11/2007
Participating Start Date
1/1/1998
Participating Approval Date
9/11/2007
Last Recertification Date
8/29/2024
Contacts
Authorizing Official
Ochsner LSU Health Monroe
Mark A Randolph, CEO
(318) 584-2569
Primary Contact
Ochsner LSU Health Monroe
Richy Hearn, Pharmacy Supervisor
(318) 330-7969
Addresses
Street Address
4864 JACKSON STREET
MONROE, LA 71202
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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2/22/12 add Medicaid #
02/22/2012
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