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DSH190202HY OCHSNER MEDICAL CENTER- BATON ROUGE, LLC (Approved)
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Main Details
Name
OCHSNER MEDICAL CENTER- BATON ROUGE, LLC
Subdivision Name
Pediatrics BNRP BB02 - BRBC PEDIATRICS
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190202HY
Medicare Provider Number
190202
Outpatient Facility Provider Number
Additional Details
Current Program Status
Approved
Registration Date
4/7/2025
Participating Start Date
7/1/2025
Participating Approval Date
4/23/2025
Last Recertification Date
Contacts
Authorizing Official
Ochsner Medical Center Baton Rouge
Dianne Teal, Chief Nursing officer
(225) 755-4983
Primary Contact
Ochsner Medical Center
Heather Maturin, Director of Pharmacy
(225) 755-4810
Addresses
Street Address
10150 Bluebonnet Boulevard
Baton Rouge, LA 70810
Billing Address
Ochsner Clinic Foundation - Accounts Payable
1201 Dickory Ave
New Orleans, LA 70123
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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Participated starting 10/1/2023, terminated 10/1/2024. Reinstated 7/1/2025.
04/23/2025
April 2025
April 2025
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