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DSH190046G TOURO INFIRMARY (Active)
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Main Details
Name
TOURO INFIRMARY
Subdivision Name
Internal Medicine, Cardiovascular, Family Practice and OBGYN
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190046G
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
9/5/2024
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
5646 Read BLVD
Suite 280
New Orleans, LA 70127
Billing Address
Touro Infirmary
1401 FOUCHER STREET
NEW ORLEANS, LA 70115
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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