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DSH190202K OCHSNER MEDICAL CENTER- BATON ROUGE, LLC (Terminated)
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Main Details
Name
OCHSNER MEDICAL CENTER- BATON ROUGE, LLC
Subdivision Name
Cardiology BNRP HW04 - Denham Springs North Cardiology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190202K
Medicare Provider Number
190202
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/4/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/25/2014
Last Recertification Date
9/11/2019
Termination Date
Termination Reason
10/1/2020
Failure to recertify
Contacts
Authorizing Official
Ochsner Medical Center Baton Rouge
Dianne Teal, Chief Nursing officer
(225) 755-4983
Primary Contact
Ochsner Medical Center
Heather Maturin, Director of Pharmacy
(225) 755-4810
Addresses
Street Address
30819 Hwy 16
Denham Springs, LA 70726
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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