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DSH190125J ST FRANCIS MEDICAL CENTER, INC (Active)
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Main Details
Name
ST FRANCIS MEDICAL CENTER, INC
Subdivision Name
PET Imaging - CT Scan
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190125J
Medicare Provider Number
190125
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2022
Participating Start Date
4/1/2022
Participating Approval Date
1/19/2022
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
St. Francis Medical Center
Andrew D. LeBlanc, CFO
(318) 966-7369
Primary Contact
St. Francis Medical Center
Anna Michele Chop, Director, Pharmacy Services
(318) 966-7246
Addresses
Street Address
411 Calypso Street
Suite 150
Monroe, LA 71201
Billing Address
FMOLHS Accounts Payable
PO Box 83880
Baton Rouge, LA 70884
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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