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DSH190017F OPELOUSAS GENERAL HOSPITAL (Active)
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Main Details
Name
OPELOUSAS GENERAL HOSPITAL
Subdivision Name
Opelousas General Health System, Med Img - Medical Imaging-South Campus
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190017F
Medicare Provider Number
190017
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/13/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/13/2020
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
190017
Jim Juneau, CFO
(337) 948-5133
Primary Contact
190017
Trey Turner, Pharmacy Manager
(337) 948-3884
Addresses
Street Address
3983 I-49 South Service Road
Opelousas, LA 70570
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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