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DSH190145 LASALLE GENERAL HOSPITAL INC. (Active)
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Main Details
Name
LASALLE GENERAL HOSPITAL INC.
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH190145
Medicare Provider Number
190145
Additional Details
Current Program Status
Active
Registration Date
4/5/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/9/2019
Last Recertification Date
9/5/2024
Contacts
Authorizing Official
LaSalle General Hospital
Lana Francis, Chief Executive Officer
(318) 992-9154
Primary Contact
LaSalle General Hospital
Tracy Thacker, IT Director
(318) 992-9198
Addresses
Street Address
187 Ninth Street
JENA, LA 71342
Billing Address
LaSalle General Hospital
PO Box 2780
Jena, LA 71342
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participating start date 1/1/2016; Termination date 10/1/2017; Reinstatement date 7/1/2019.
04/10/2019
12/31/15 participating 1/1/12 until terminated 10/1/13, reinstated effective 1/1/16
12/31/2015
April 2025
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