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DSH190184 CITIZENS MEDICAL CENTER (Terminated)
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Main Details
Name
CITIZENS MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH190184
Medicare Provider Number
190184
Additional Details
Current Program Status
Terminated
Registration Date
10/16/2023
Participating Start Date
1/1/2024
Participating Approval Date
11/7/2023
Last Recertification Date
8/28/2024
Termination Date
Termination Reason
1/1/2025
DSH percentage below statutory minimum
Contacts
Authorizing Official
Citizens medical Center
Steven Lynn Barbo, CEO
(318) 649-6106
Primary Contact
Citizens Medical Center
Patty Lynn Laird, CFO
(318) 649-6106
Addresses
Street Address
7939 HWY 165
COLUMBIA, LA 71418
Billing Address
Citizens Medical Center
PO Box 1079
Columbia, LA 71465
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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April 2025
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