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DELHI HEALTH CENTER
CAH191323-00 Hospital Service District 1A, Parish of Richland, State of Louisiana, DBA Richland Parish Hospital
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Covered Entity Details
Entity Name
Hospital Service District 1A, Parish of Richland, State of Louisiana, DBA Richland Parish Hospital
Subdivision Name
Type
Critical Access Hospital
340B ID
CAH191323-00
Entity Address
407 Cincinnati Street
Delhi, LA 71232-3008
Medicare Provider Number
191323
Participating Start Date
7/1/2014
Last Recertification Date
8/15/2024
Pharmacy Details
Pharmacy Name
DELHI HEALTH CENTER
Pharmacy Address
414 BROADWAY ST
DELHI, LA 71232
Pharmacy Comments
Contract Details
Approval Date
7/11/2019
Contract Begin Date
10/1/2019
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Michael Carroll, CEO
(318) 878-6323
Contract Pharmacy Representative
Delhi Health Center Pharmacy
Ivan Landry, Owner
(318) 878-5104
Signed By Date
7/11/2019
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