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DSH190054 IBERIA MEDICAL CENTER (Active)
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Main Details
Name
IBERIA MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190054
Medicare Provider Number
190054
Additional Details
Current Program Status
Active
Registration Date
4/22/2008
Participating Start Date
7/1/2004
Participating Approval Date
4/22/2008
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Iberia Medical Center
Amy Langlinais, CFO
(337) 374-7104
Primary Contact
Iberia Medical Center
Brennon LeBlanc, Director of Cancer Services
(337) 374-7554
Addresses
Street Address
2315 EAST MAIN STREET
NEW IBERIA, LA 70560
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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