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DSH190041AF CHRISTUS Health Shreveport-Bossier (Terminated)
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Main Details
Name
CHRISTUS Health Shreveport-Bossier
Subdivision Name
NHL SURGERY-GENERAL
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190041AF
Medicare Provider Number
190041
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/10/2012
Participating Start Date
1/1/2013
Participating Approval Date
10/31/2012
Last Recertification Date
8/24/2015
Termination Date
Termination Reason
7/1/2016
Site closure
Contacts
Authorizing Official
CHRISTUS Shreveport-Bossier
Bryan Pannagl, Chief Financial Officer
(318) 681-5444
Primary Contact
CHRISTUS Health
Scott Merryman, EVP/CFO
(318) 561-7172
Addresses
Street Address
1453 E. Bert Kouns
Shreveport, LA 71105
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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