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DSH190007J NATCHITOCHES REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
NATCHITOCHES REGIONAL MEDICAL CENTER
Subdivision Name
NRMC OBGYN ASSOCIATES - Ob/Gyn
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190007J
Medicare Provider Number
190007
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/13/2023
Participating Start Date
7/1/2023
Participating Approval Date
4/19/2023
Last Recertification Date
8/19/2024
Contacts
Authorizing Official
Natchitoches Regional Medical Center
Damian K. Soileau, CEO
(318) 214-4512
Primary Contact
Natchitoches Regional Medical Center
Kassie Williams, Director of Pharmacy
(318) 214-4359
Addresses
Street Address
627 BIENVILLE CIR
NATCHITOCHES, LA 71457-5744
Billing Address
NATCHITOCHES REGIONAL MEDICAL CENTER
501 KEYSER AVE
NATCHITOCHES, LA 71457
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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