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DSH190017B OPELOUSAS GENERAL HOSPITAL (Active)
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Main Details
Name
OPELOUSAS GENERAL HOSPITAL
Subdivision Name
Opelousas General Hospital Cancer Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190017B
Medicare Provider Number
190017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/1/2013
Participating Start Date
10/1/2013
Participating Approval Date
7/9/2013
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
190017
Jim Juneau, CFO
(337) 948-5133
Primary Contact
190017
Trey Turner, Pharmacy Manager
(337) 948-3884
Addresses
Street Address
3983 I-49 South Service Road
Opelousas, LA 70570
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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