340B Drug Pricing Program Database
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DSH190036NM OCHSNER CLINIC FOUNDATION (Terminated)
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Main Details
Name
OCHSNER CLINIC FOUNDATION
Subdivision Name
Rehab Services SOSH SC03 - OMC Skilled Nursing
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190036NM
Medicare Provider Number
190036
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
4/12/2018
Participating Start Date
7/1/2018
Participating Approval Date
5/2/2018
Last Recertification Date
9/1/2022
Termination Date
Termination Reason
7/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Ochsner Health System
Scott Posecai, Executive VP and Chief Financial Officer
(504) 842-4097
Primary Contact
Ochsner Medical Center
Myra Thomas, AVP - Pharmacy Services
(504) 842-3043
Addresses
Street Address
2614 Jefferson Highway
Jefferson, LA 70121
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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