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DSH190036TP OCHSNER CLINIC FOUNDATION (Terminated)
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Main Details
Name
OCHSNER CLINIC FOUNDATION
Subdivision Name
Hemat Oncology Surg STWP ST02 - St Tammany Cancer Center Oncology
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190036TP
Medicare Provider Number
190036
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
1/11/2022
Participating Start Date
4/1/2022
Participating Approval Date
2/9/2022
Last Recertification Date
9/1/2022
Termination Date
Termination Reason
7/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Ochsner Health System
Scott Posecai, Executive VP and Chief Financial Officer
(504) 842-4097
Primary Contact
Ochsner Medical Center
Myra Thomas, AVP - Pharmacy Services
(504) 842-3043
Addresses
Street Address
900 Ochsner Blvd
Covington, LA 70433
Billing Address
Ochsner Clinic Foundation - Accounts Payable
1514-1516 JEFFERSON HIGHWAY
NEW ORLEANS, LA 70121
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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