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DSH190045 ST. TAMMANY PARISH HOSPITAL (Active)
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Main Details
Name
ST. TAMMANY PARISH HOSPITAL
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190045
Medicare Provider Number
190045
Additional Details
Current Program Status
Active
Registration Date
7/2/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/6/2018
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
St. Tammany Parish Hospital
Sandra DiPietro, Senior Vice President/Chief Financial Officer
(985) 898-4583
Primary Contact
St. Tammany Parish Hospital
Lesleigh Hall, AVP Legal Affairs
(985) 871-5830
Addresses
Street Address
St. Tammany Parish Hospital
1202 S. Tyler Street
COVINGTON, LA 70433
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating start date 10/1/2004, Termination date 10/1/2015, Reinstate 10/1/2018
07/05/2018
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