340B Drug Pricing Program Database
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DSH190036RY OCHSNER CLINIC FOUNDATION (Terminated)
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Main Details
Name
OCHSNER CLINIC FOUNDATION
Subdivision Name
NSMC Ultrasound STEH LH01 - Northshore Ultrasound - Ultrasound
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190036RY
Medicare Provider Number
190036
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/9/2020
Participating Start Date
11/3/2020
Participating Approval Date
11/2/2020
Last Recertification Date
9/1/2022
Termination Date
Termination Reason
1/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Ochsner Health
Peter C November, EVP, CFO
(504) 842-1335
Primary Contact
Ochsner Medical Center
Myra Thomas, AVP - Pharmacy Services
(504) 842-3043
Addresses
Street Address
64030 Highway 434
Lacombe, LA 70445
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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