340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH190201 CHRISTUS Lake Area Hospital (Active)
Print
Main Details
Name
CHRISTUS Lake Area Hospital
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190201
Medicare Provider Number
190201
Additional Details
Current Program Status
Active
Registration Date
10/5/2017
Participating Start Date
1/1/2018
Participating Approval Date
11/6/2017
Last Recertification Date
9/9/2024
Contacts
Authorizing Official
CHRISTUS
James Davidson, President/COO
(337) 491-7730
Primary Contact
CHRISTUS Ochsner Lake Area
Demetria Boutte, Director of Pharmacy
(337) 475-4145
Addresses
Street Address
4200 NELSON RD
LAKE CHARLES, LA 70605
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
1
to
1
of
1
Page:
of 1
Go
Page size:
Change
Participated starting 10/1/2017, terminated 10/1/2017. Reinstated 1/1/2018.
11/03/2017
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