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DSH190183 Southern Regional Medical Corporation d/b/a Leonard J. Chabert Medical Center (Active)
Main Details
Name
Southern Regional Medical Corporation d/b/a Leonard J. Chabert Medical Center
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190183
Medicare Provider Number
190183
Contacts
Authorizing Official
Southern Regional Medical Center
Phyllis Peoples, Executive CEO
(985) 873-4664
Primary Contact
Ochsner St. Anne
Michael Battaglia, Director of Pharmacy
(985) 873-1380
Additional Details
Current Program Status
Active
Registration Date
12/4/2007
Participating Start Date
1/1/1998
Participating Approval Date
12/4/2007
Last Recertification Date
9/8/2023
Addresses
Street Address
1978 INDUSTRIAL BLVD
HOUMA, LA 70363
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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