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DSH190015Q North Oaks Medical Center LLC (Active)
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Main Details
Name
North Oaks Medical Center LLC
Subdivision Name
NORTH OAKS FAMILY MEDICINE CLINIC M - Family Medicine
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190015Q
Medicare Provider Number
190015
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/3/2025
Participating Start Date
4/1/2025
Participating Approval Date
1/10/2025
Last Recertification Date
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
15770 PAUL VEGA MD DR
104A
HAMMOND, LA 70403-1475
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 4/1/2019; Terminated 1/1/2024; Reinstated 4/1/2025.
01/10/2025
June 2025
June 2025
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