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CAH191317-00 JACKSON PARISH HOSPITAL (Active)
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Main Details
Name
JACKSON PARISH HOSPITAL
Subdivision Name
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH191317-00
Medicare Provider Number
191317
Additional Details
Current Program Status
Active
Registration Date
7/3/2018
Participating Start Date
10/1/2018
Participating Approval Date
7/12/2018
Last Recertification Date
8/28/2024
Contacts
Authorizing Official
Jackson Parish Hospital
John Morgan, CEO
(318) 259-4435
Primary Contact
Jackson Parish Hospital
Bill Stansbury, CFO
(318) 259-4435
Addresses
Street Address
165 BEECH SPRINGS ROAD
JONESBORO, LA 71251
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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