340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH190041AJ CHRISTUS Shreveport-Bossier Health System (Active)
Print
Main Details
Name
CHRISTUS Shreveport-Bossier Health System
Subdivision Name
Ashley Ridge Imaging Center
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190041AJ
Medicare Provider Number
190041
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2024
Participating Start Date
7/1/2024
Participating Approval Date
4/29/2024
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
CHRISTUS St. Michael & Shreveport-Bossier Health Systems
Glen Boles, VP & Chief Financial Officer
(903) 614-2007
Primary Contact
CHRISTUS Shreveport-Bossier Health System
Lois Rose Anderson, Director of Pharmacy
(318) 681-7383
Addresses
Street Address
463 ASHLEY RIDGE BLVD STE 200
ASHLEY RIDGE IMAGING CENTER
SHREVEPORT, LA 71106-7231
Billing Address
CHRISTUS Health Shreveport-Bossier
1453 E. Bert Kouns Industrial Loop
Shreveport, LA 71105
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
2
of
2
Page:
of 1
Go
Page size:
Change
Participating from effective date: (01/01/2018) until terminated effective date: (10/01/2023); reinstatement effective date: (07/1/2024)
04/25/2024
Participated starting 4/1/2016, terminated 1/1/2017. Reinstated 1/1/2018.
10/18/2017
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session