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DSH190046J TOURO INFIRMARY (Active)
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Main Details
Name
TOURO INFIRMARY
Subdivision Name
Primary and Specialty
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190046J
Medicare Provider Number
190046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
11/17/2011
Participating Start Date
1/1/2012
Participating Approval Date
12/15/2011
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Touro Infirmary
Candace Robinson, Chief Medical Officer
(504) 897-8246
Primary Contact
Touro Infirmary
Tara Montgomery, Director of Pharmacy
(504) 897-8071 Ext: 7515
Addresses
Street Address
3434 Prytania Street, Suite 105
New Orleans, LA 70115
Billing Address
Touro Infirmary
1401 FOUCHER STREET
NEW ORLEANS, LA 70115
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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12/14/2011 Suite 206, 224 occupied at this location.
12/14/2011
April 2025
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