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DSH190036AS OCHSNER CLINIC FOUNDATION (Active)
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Main Details
Name
OCHSNER CLINIC FOUNDATION
Subdivision Name
Breast Surgery Ctr SOSP JH07 - NOMC TANSEY BREAST SURGERY CENTER BENSON
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190036AS
Medicare Provider Number
190036
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/15/2013
Participating Start Date
10/1/2013
Participating Approval Date
9/3/2013
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Ochsner Medical Center - New Orleans
Jeffrey Saucier, System VP - Finance Planning & Analysis
(504) 842-3319
Primary Contact
Ochsner Medical Center
Myra Thomas, AVP - Pharmacy Services
(504) 842-3043
Addresses
Street Address
1514 Jefferson Hwy
NEW ORLEANS, LA 70121
Billing Address
Ochsner Clinic Foundation - Accounts Payable
1201 Dickory Ave
NEW ORLEANS, LA 70123
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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