340B Drug Pricing Program Database
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DSH190065W BATON ROUGE GENERAL MEDICAL CENTER (Active)
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Main Details
Name
BATON ROUGE GENERAL MEDICAL CENTER
Subdivision Name
CCL - BB - Comprehensive Care Clinic
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190065W
Medicare Provider Number
190065
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/13/2022
Participating Start Date
10/1/2022
Participating Approval Date
8/5/2022
Last Recertification Date
9/6/2024
Contacts
Authorizing Official
Baton Rouge General Medical Center
Kendall Johnson, CFO
(225) 237-1645
Primary Contact
Baton Rouge General Medical Center
Raneesha Ford, Director, Pharmacy Services
(225) 763-4087
Addresses
Street Address
8585 Picardy Avenue
Suite 203
Baton Rouge, LA 70809
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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