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DSH190046AD TOURO INFIRMARY (Active)
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Main Details
Name
TOURO INFIRMARY
Subdivision Name
Ridgelake 4th Floor - Oncology Infusion Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190046AD
Medicare Provider Number
190046
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
10/1/2019
Participating Start Date
1/1/2020
Participating Approval Date
12/1/2019
Last Recertification Date
9/4/2024
Contacts
Authorizing Official
Touro Infirmary
Candace Robinson, Chief Medical Officer
(504) 897-8246
Primary Contact
Touro Infirmary
Tara Montgomery, Director of Pharmacy
(504) 897-8071 Ext: 7515
Addresses
Street Address
2121 Ridgelake Drive
Suite 400
Metairie, LA 70001
Billing Address
Touro Infirmary
1401 Foucher Street
New Orleans, LA 70115
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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