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DSH190015H North Oaks Medical Center LLC (Terminated)
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Main Details
Name
North Oaks Medical Center LLC
Subdivision Name
North Oaks Surgery Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190015H
Medicare Provider Number
190015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/14/2014
Participating Start Date
10/1/2014
Participating Approval Date
9/15/2014
Last Recertification Date
8/23/2016
Termination Date
Termination Reason
7/1/2017
Site closure
Contacts
Authorizing Official
North Oaks Health System
Mark T Anderson, CFO
(985) 230-6602
Primary Contact
North Oaks Medical Center
Frances H. Pearson, PHARMACY DIRECTOR
(985) 230-6313
Addresses
Street Address
42144 Veterans Ave
HAMMOND, LA 70403-1434
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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