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SCH190007-03 NATCHITOCHES REGIONAL MEDICAL CENTER (Terminated)
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Main Details
Name
NATCHITOCHES REGIONAL MEDICAL CENTER
Subdivision Name
Northwestern LA Cancer Center
Type
Sole Community Hospital
Rural
No
340B ID
SCH190007-03
Medicare Provider Number
190007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/17/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/26/2017
Last Recertification Date
11/16/2017
Termination Date
Termination Reason
7/1/2018
Business decision by the Covered Entity
Contacts
Authorizing Official
Natchitoches Regional Medical Center
Damian K. Soileau, CEO
(318) 214-4512
Primary Contact
NRMC
Scott Weatherford, Director of Pharmacy
(318) 214-4359
Addresses
Street Address
211 Medical Drive
Natchitoches, LA 71454
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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