340B Drug Pricing Program Database
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DSH190116A MOREHOUSE GENERAL HOSPITAL (Active)
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Main Details
Name
MOREHOUSE GENERAL HOSPITAL
Subdivision Name
MOREHOUSE RURAL HEALTH CLINIC
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH190116A
Medicare Provider Number
190116
Outpatient Facility Provider Number
193487
Additional Details
Current Program Status
Active
Registration Date
1/13/2015
Participating Start Date
4/1/2015
Participating Approval Date
2/10/2015
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Morehouse General Hospital
Nicole Toomer-Tatum, 340B Program Coordinator
(318) 283-3622
Primary Contact
Morehouse General Hospital
Nicole Toomer-Tatum, 340B Program Coordinator
(318) 283-3622
Addresses
Street Address
420 GUNBY STREET
BASTROP, LA 71220-4406
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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