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DSH190040E Slidell Memorial Hospital (Terminated)
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Main Details
Name
Slidell Memorial Hospital
Subdivision Name
SMH PRIMARY CARE - Primary Care Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190040E
Medicare Provider Number
190040
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
10/20/2020
Participating Start Date
1/1/2021
Participating Approval Date
10/27/2020
Last Recertification Date
8/14/2023
Termination Date
Termination Reason
1/1/2024
Hospital Outpatient facility no longer eligible
Contacts
Authorizing Official
Slidell Memorial Hospital
Sandy Badinger, Chief Executive Officer
(985) 280-8503
Primary Contact
Slidell Memorial Hospital
Kisha Gant, Pharmacy Director
(985) 280-8898
Addresses
Street Address
901 GAUSE BLVD
SLIDELL, LA 70458-2948
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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