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DSH190125Q ST FRANCIS MEDICAL CENTER, INC (Active)
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Main Details
Name
ST FRANCIS MEDICAL CENTER, INC
Subdivision Name
SFMC CHC Campus-MRI Imaging - MRI
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH190125Q
Medicare Provider Number
190125
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
7/14/2023
Participating Start Date
10/1/2023
Participating Approval Date
8/14/2023
Last Recertification Date
8/13/2024
Contacts
Authorizing Official
St. Francis Medical Center
Andrew D. LeBlanc, CFO
(318) 966-7369
Primary Contact
St. Francis Medical Center
Anna Michele Chop, Director, Pharmacy Services
(318) 966-7246
Addresses
Street Address
2600 Tower Drive
Suite 112
Monroe, LA 71201
Billing Address
FMOLHS Accounts Payable
PO Box 83880
Baton Rouge, LA 70884
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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