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DSH190040A Slidell Memorial Hospital (Active)
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Main Details
Name
Slidell Memorial Hospital
Subdivision Name
Slidell Memorial Hospital Regional Cancer Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190040A
Medicare Provider Number
190040
Outpatient Facility Provider Number
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
1120 Robert Blvd.
Slidell, LA 70458
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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