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DSH190050 BEAUREGARD MEMORIAL HOSPITAL INC. (Active)
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Main Details
Name
BEAUREGARD MEMORIAL HOSPITAL INC.
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH190050
Medicare Provider Number
190050
Additional Details
Current Program Status
Active
Registration Date
8/19/2015
Participating Start Date
10/1/2015
Participating Approval Date
8/25/2015
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
Beauregard Health System
Jarred Veillon, Chief Financial Officer
(337) 462-7495
Primary Contact
Beauregard Memorial Hospital
Alex Manitzas, Director of Pharmacy
(337) 462-7355
Addresses
Street Address
600 S. PINE STREET
DERIDDER, LA 70634
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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8/25/15 Participated starting 12/1/2005, terminated 4/8/2015 through 9-30-15 due to DSH percentage below statutory minimum, reinstated based on registration submitted in 7-2015.
08/25/2015
April 2025
April 2025
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