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DSH190176X University Healthcare System.L.C. d/b/a East Jefferson General Hospital (Active)
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Main Details
Name
University Healthcare System.L.C. d/b/a East Jefferson General Hospital
Subdivision Name
Lakeside Emergency Room - Emergency
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190176X
Medicare Provider Number
190176
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
1/11/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/14/2023
Last Recertification Date
8/27/2024
Contacts
Authorizing Official
LCMC Health
Bradley Scott Sinclair, CFO
(504) 962-6048
Primary Contact
University Healthcare System
Joanna Wood Bowles, Director of Pharmacy
(985) 867-4036
Addresses
Street Address
4700 South I 10 Service Rd
Metairie, LA 70001-1269
Billing Address
UHS Tulane Hospital and Clinics
1415 Tulane Avenue
New Orleans, LA 70112-2600
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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