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DSH190202DQ OCHSNER MEDICAL CENTER- BATON ROUGE, LLC (Active)
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Main Details
Name
OCHSNER MEDICAL CENTER- BATON ROUGE, LLC
Subdivision Name
CT Scan BNRH TG01 - HGVH CT SCAN
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190202DQ
Medicare Provider Number
190202
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/15/2016
Participating Start Date
4/1/2016
Participating Approval Date
2/19/2016
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Ochsner Medical Center Baton Rouge
Dianne Teal, Chief Nursing officer
(225) 755-4983
Primary Contact
Ochsner Medical Center
Heather Maturin, Director of Pharmacy
(225) 755-4810
Addresses
Street Address
10310 The Grove Blvd
BATON ROUGE, LA 70836-3726
Billing Address
Ochsner Clinic Foundation - Accounts Payable
1201 Dickory Ave
New Orleans, LA 70123
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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