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DSH190040 Slidell Memorial Hospital (Active)
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Main Details
Name
Slidell Memorial Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190040
Medicare Provider Number
190040
Additional Details
Current Program Status
Active
Registration Date
8/30/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/21/2011
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Slidell Memorial Hospital
Sandy T Badinger, CEO
(504) 881-7056
Primary Contact
Slidell Memorial Hospital
Kisha Gant O'Neal Gant, Director of Pharmacy
(985) 280-7667
Addresses
Street Address
1001 Gause Boulevard
Slidell, LA 70458-2987
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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