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DSH190036HL OCHSNER CLINIC FOUNDATION (Terminated)
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Main Details
Name
OCHSNER CLINIC FOUNDATION
Subdivision Name
Pure Healthy Back OBM / Pure Healthy Back
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190036HL
Medicare Provider Number
190036
Outpatient Facility Provider Number
190036
Additional Details
Current Program Status
Terminated
Registration Date
7/9/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/10/2014
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
2820 Napoleon Ave
New Orleans, LA 70115
Billing Address
Ochsner Clinic Foundation
2700 Napoleon Ave
Baptist Campus Pharmacy
New Orleans, LA 70115
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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