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DSH190151A RICHARDSON MEDICAL CENTER (Active)
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Main Details
Name
RICHARDSON MEDICAL CENTER
Subdivision Name
Northeast Louisiana Rural Health Center
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH190151A
Medicare Provider Number
190151
Outpatient Facility Provider Number
193412
Additional Details
Current Program Status
Active
Registration Date
10/12/2012
Participating Start Date
1/1/2013
Participating Approval Date
11/29/2012
Last Recertification Date
9/3/2024
Contacts
Authorizing Official
Richardson Medical Center
James Barrett, CEO
(318) 728-8389
Primary Contact
Richardson Medical Center
RENEE CRAWFORD, DIRECTOR OF PHARMACY
(318) 728-8352
Addresses
Street Address
256 Hwy 3048
Rayville, LA 71269
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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