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DSH190183 Southern Regional Medical Corporation d/b/a Leonard J. Chabert Medical Center (Active)
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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
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
9/6/2024
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
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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