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CAH191308-00 West Ascension Parish Hospital (d/b/a Prevost Memorial Hospital) (Active)
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Main Details
Name
West Ascension Parish Hospital (d/b/a Prevost Memorial Hospital)
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH191308-00
Medicare Provider Number
191308
Additional Details
Current Program Status
Active
Registration Date
10/12/2018
Participating Start Date
1/1/2019
Participating Approval Date
10/29/2018
Last Recertification Date
12/4/2024
Contacts
Authorizing Official
Prevost Memorial Hospital
Shelton Anthony, CEO
(225) 474-2114
Primary Contact
Prevost Memorial Hospital
Austin Wright, Executive Assistant
(225) 892-0728
Addresses
Street Address
301 MEMORIAL DRIVE
DONALDSONVILLE, LA 70346
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 1/1/2018; terminated 10/1/2018; reinstated 1/1/2019.
10/29/2018
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