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CAH191309-01 HOOD MEMORIAL HOSPITAL (Active)
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Main Details
Name
HOOD MEMORIAL HOSPITAL
Subdivision Name
HOOD MEMORIAL HOSPITAL - Rural Health Clinic
Type
Critical Access Hospital
Rural
Yes
340B ID
CAH191309-01
Medicare Provider Number
191309
Outpatient Facility Provider Number
193985
Additional Details
Current Program Status
Active
Registration Date
4/15/2019
Participating Start Date
7/1/2019
Participating Approval Date
5/1/2019
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
Hood Memorial Hospital
James Michael Whittington, CEO
(985) 284-2404
Primary Contact
Hood Memorial Hospital
Robert Alexander Landry, Pharmacy Director
(985) 284-2419 Ext: 419
Addresses
Street Address
409 NW CENTRAL AVE
AMITE, LA 70422-2428
Billing Address
Hood Memorial Hospital
Accounts Payable
Rural Health Clinic
301 West Walnut St., LA 70422-2098
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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