340B Drug Pricing Program Database
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DSH190065J BATON ROUGE GENERAL MEDICAL CENTER (Active)
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Main Details
Name
BATON ROUGE GENERAL MEDICAL CENTER
Subdivision Name
IMAGING CENTER
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190065J
Medicare Provider Number
190065
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/14/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/4/2016
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Baton Rouge General Medical Center
Kendall Johnson, CFO
(225) 237-1645
Primary Contact
Baton Rouge General Health System
Raneesha Ford, Director, Pharmacy Services
(225) 763-4087
Addresses
Street Address
2550 ONEAL LN
BATON ROUGE, LA 70816-3310
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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