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DSH190036GX OCHSNER CLINIC FOUNDATION (Terminated)
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Main Details
Name
OCHSNER CLINIC FOUNDATION
Subdivision Name
CHEMOTHERAPY INFUSION WBM
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190036GX
Medicare Provider Number
190036
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2014
Participating Start Date
7/1/2014
Participating Approval Date
5/23/2014
Last Recertification Date
11/7/2019
Termination Date
Termination Reason
10/1/2020
Failure to recertify
Contacts
Authorizing Official
Ochsner Health System
Scott Posecai, Executive VP and Chief Financial Officer
(504) 842-4097
Primary Contact
Ochsner
Jason Chou, AVP - Pharmacy Operations
(504) 842-1195
Addresses
Street Address
2500 Belle Chasse Hwy
Gretna, LA 70056
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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