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DSH190045H ST. TAMMANY PARISH HOSPITAL (Terminated)
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Main Details
Name
ST. TAMMANY PARISH HOSPITAL
Subdivision Name
Mandeville Diagnostic Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190045H
Medicare Provider Number
190045
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/10/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/18/2018
Last Recertification Date
9/2/2020
Termination Date
Termination Reason
1/1/2021
Never implemented the 340B Program
Contacts
Authorizing Official
St. Tammany Parish Hospital
Sandra DiPietro, Senior Vice President/Chief Financial Officer
(985) 898-4583
Primary Contact
St. Tammany Parish Hospital
Lesleigh Hall, AVP Legal Affairs
(985) 871-5830
Addresses
Street Address
201 St. Ann Drive
Suite A
Mandeville, LA 70471
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Initial start date 1/1/2014, Termination 10/1/2015, Reinstate 10/1/2018
07/18/2018
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