340B Drug Pricing Program Database
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DSH190020E LANE REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
LANE REGIONAL MEDICAL CENTER
Subdivision Name
OUTPATIENT DIAGNOSTIC CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190020E
Medicare Provider Number
190020
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/14/2015
Participating Start Date
1/1/2016
Participating Approval Date
11/23/2015
Last Recertification Date
8/15/2018
Termination Date
Termination Reason
7/1/2019
Never implemented the 340B Program
Contacts
Authorizing Official
Lane Regional Medcial Center
Phil Hacker, Chief Financial Officer
(225) 658-4505
Primary Contact
Lane Regional Medical Center
Jennie Stelly, DIRECTOR OF PHARMACY
(225) 658-4364
Addresses
Street Address
6550 MAIN STREET
SUITE 1100, LANE MEDICAL PLAZA
ZACHARY, LA 70791-4099
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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May 2025
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