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DSH190202EP OCHSNER MEDICAL CENTER- BATON ROUGE, LLC (Active)
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Main Details
Name
OCHSNER MEDICAL CENTER- BATON ROUGE, LLC
Subdivision Name
Neurosurgery BNRP TG01 - HGVC NEUROSURGERY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190202EP
Medicare Provider Number
190202
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/9/2019
Participating Start Date
7/1/2019
Participating Approval Date
4/19/2019
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Ochsner Medical Center Baton Rouge
Dianne Teal, Chief Nursing officer
(225) 755-4983
Primary Contact
Ochsner Medical Center
Heather Maturin, Director of Pharmacy
(225) 755-4810
Addresses
Street Address
10310 THE GROVE BLVD
BATON ROUGE, LA 70836-6455
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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