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DSH190015T North Oaks Medical Center LLC (Active)
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Main Details
Name
North Oaks Medical Center LLC
Subdivision Name
MAGNOLIA OB/GYN - OB/GYN
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190015T
Medicare Provider Number
190015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2019
Participating Start Date
4/1/2019
Participating Approval Date
1/24/2019
Last Recertification Date
8/16/2024
Contacts
Authorizing Official
North Oaks Health System
Mark T Anderson, CFO
(985) 230-6602
Primary Contact
North Oaks Medical Center
Frances H. Pearson, PHARMACY DIRECTOR
(985) 230-6313
Addresses
Street Address
15813 PAUL VEGA MD DRIVE
SUITE 200
HAMMOND, LA 70403-1431
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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