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DSH190046S TOURO INFIRMARY (Active)
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Main Details
Name
TOURO INFIRMARY
Subdivision Name
Touro Ambulatory Surgery Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190046S
Medicare Provider Number
190046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/15/2013
Participating Start Date
7/1/2013
Participating Approval Date
5/16/2013
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
3525 Prytania Street, Suite 102
102
New Orleans, LA 70115
Billing Address
Touro Infirmary
1401 Foucher St.
New Orleans, LA 70115
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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4/24/13-Ready for IS approval. Have documentation.
04/24/2013
April 2025
April 2025
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