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DSH190202AK OCHSNER MEDICAL CENTER- BATON ROUGE, LLC (Active)
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Main Details
Name
OCHSNER MEDICAL CENTER- BATON ROUGE, LLC
Subdivision Name
Urology BNRP MC03 - Oneal Urology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190202AK
Medicare Provider Number
190202
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/8/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/31/2025
Last Recertification Date
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
16777 Medical Center Dr
Baton Rouge, LA 70816
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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Participating Start Date10/1/2023, Termination 10/1/2024, Reinstatement 4/1/2025
01/28/2025
Participated starting 7/1/2014; Terminated 10/1/2020; Reinstated 10/1/2023.
09/06/2023
June 2025
June 2025
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