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DSH190065AA BATON ROUGE GENERAL MEDICAL CENTER (Active)
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Main Details
Name
BATON ROUGE GENERAL MEDICAL CENTER
Subdivision Name
BATON ROUGE GENERAL - ASCENSION - Respiratory Therapy
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190065AA
Medicare Provider Number
190065
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/10/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/1/2023
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
14105 HIGHWAY 73
STE 100, SUITE 201
PRAIRIEVILLE, LA 70769-3626
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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