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DSH190202FN OCHSNER MEDICAL CENTER- BATON ROUGE, LLC (Approved)
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Main Details
Name
OCHSNER MEDICAL CENTER- BATON ROUGE, LLC
Subdivision Name
General Surgery BNRP MC02 - BRCC GENERAL SURGERY
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190202FN
Medicare Provider Number
190202
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/23/2025
Last Recertification Date
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
17050 Medical Center Dr
Baton Rouge, LA 70816
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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Participated starting 10/1/2020, terminated 10/1/2024. Reinstated 7/1/2025.
04/23/2025
April 2025
April 2025
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