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DSH190151 RICHARDSON MEDICAL CENTER (Active)
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Main Details
Name
RICHARDSON MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH190151
Medicare Provider Number
190151
Additional Details
Current Program Status
Active
Registration Date
4/23/2008
Participating Start Date
7/1/2005
Participating Approval Date
4/23/2008
Last Recertification Date
9/8/2024
Contacts
Authorizing Official
Richardson Medical Center
James Barrett, CEO
(318) 728-8389
Primary Contact
Richardson Medical Center
RENEE CRAWFORD, DIRECTOR OF PHARMACY
(318) 728-8352
Addresses
Street Address
254 HWY 3048
RAYVILLE, LA 71269
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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