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CAH191325-02 LAFOURCHE HOSPITAL SERVICE DISTRICT #1 DBA LADY OF THE SEA GENERAL HOSPITAL (Active)
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Main Details
Name
LAFOURCHE HOSPITAL SERVICE DISTRICT #1 DBA LADY OF THE SEA GENERAL HOSPITAL
Subdivision Name
MEDICAL CLINIC CUT OFF
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH191325-02
Medicare Provider Number
191325
Outpatient Facility Provider Number
193451
Additional Details
Current Program Status
Active
Registration Date
9/15/2010
Participating Start Date
9/16/2010
Participating Approval Date
9/16/2010
Last Recertification Date
8/14/2024
Contacts
Authorizing Official
Lady of the Sea General Hospital
Lloyd Joseph Guidry, Chief Executive Officer
(985) 632-8286
Primary Contact
Lady of the Sea General Hospital
Dustin Jacob Foret, Director of Pharmacy
(985) 632-8331
Addresses
Street Address
144 West 134th Place
CUT OFF, LA 70345
Billing Address
LADY OF THE SEA GENERAL HOSPITAL
200 WEST 134TH PLACE
CUT OFF, LA 70345-9998
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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02/18/2014: Termination recorded in error; site remained continuously eligible from participation start date.
03/31/2014
May 2025
May 2025
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