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DSH190025D SAVOY MEDICAL MANAGEMENT GROUP, INC. D/B/A SAVOY MEDICAL CENTER (Active)
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Main Details
Name
SAVOY MEDICAL MANAGEMENT GROUP, INC. D/B/A SAVOY MEDICAL CENTER
Subdivision Name
Mamou Family Care - Family Medicine
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH190025D
Medicare Provider Number
190025
Outpatient Facility Provider Number
198510
Additional Details
Current Program Status
Active
Registration Date
2/24/2021
Participating Start Date
2/25/2021
Participating Approval Date
2/25/2021
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
Savoy Medical Center
Brian Denton, CEO
(337) 468-0350
Primary Contact
Savoy Medical Center
John Pitre, Pharmacy Director
(337) 468-0149
Addresses
Street Address
704 Poinciana Avenue
Mamou, LA 70554
Billing Address
SAVOY MEDICAL MANAGEMENT GROUP, INC. D/B/A SAVOY MEDICAL CENTER
801 POINCIANA AVENUE
MAMOU, LA 70554
Comments
Medicaid Billing
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Contract Pharmacies
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