340B Drug Pricing Program Database
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CAH191312-00 CHRISTUS Health Central Louisiana DBA CHRISTUS Coushatta Health Care Center (Active)
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Main Details
Name
CHRISTUS Health Central Louisiana DBA CHRISTUS Coushatta Health Care Center
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH191312-00
Medicare Provider Number
191312
Additional Details
Current Program Status
Active
Registration Date
8/31/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/13/2011
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
CHRISTUS St. Frances Cabrini Health System
Monte Wilson, CEO
(318) 448-6701
Primary Contact
CHRISTUS Coushatta Health Care Center
Laura Dial, Interim Pharmacy Manager of CHRISTUS Coushatta Health Care Center
(318) 932-2184
Addresses
Street Address
1635 Marvel Street
Coushatta, LA 71019
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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