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DSH250162 OCHSNER MEDICAL CENTER - HANCOCK (Terminated)
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Main Details
Name
OCHSNER MEDICAL CENTER - HANCOCK
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH250162
Medicare Provider Number
250162
Additional Details
Current Program Status
Terminated
Registration Date
10/10/2014
Participating Start Date
1/1/2015
Participating Approval Date
12/12/2014
Last Recertification Date
8/29/2023
Termination Date
Termination Reason
4/1/2024
DSH percentage below statutory minimum
Contacts
Authorizing Official
Ochsner Health
Jeffery H Edge, CEO OMC Hancock & Gulfcoast Clinics
(228) 467-8744
Primary Contact
Ochsner Medical Center- Hancock
Brittany Scott, Pharmacy Director
(228) 467-8615
Addresses
Street Address
149 DRINKWATER BLVD
BAY ST. LOUIS, MS 39520
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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