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IV SERVICES, L.L.C. DBA GENEFIC INFUSION
DSH190039F WEST JEFFERSON MEDICAL CENTER
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Covered Entity Details
Entity Name
WEST JEFFERSON MEDICAL CENTER
Subdivision Name
INTERNAL MEDICINE
Type
Disproportionate Share Hospital
340B ID
DSH190039F
Entity Address
1111 MEDICAL CENTER BLVD.
SUITE S850
MARRERO, LA 70072
Medicare Provider Number
190039
Outpatient Facility Provider Number
Participating Start Date
4/1/2017
Last Recertification Date
Entity Termination Date
10/1/2017
Pharmacy Details
Pharmacy Name
IV SERVICES, L.L.C. DBA GENEFIC INFUSION
Pharmacy Address
3044 RIDGELAKE DR
METAIRIE, LA 70002
Pharmacy Comments
Contract Details
Approval Date
1/10/2014
Contract Begin Date
4/1/2014
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
7/1/2015
Covered Entity Terminated
Contacts
Covered Entity Signing Official
Angela Greener, Chief Administrrative Letter
(504) 349-6021
Contract Pharmacy Representative
Paulette Beninate, CEO
(504) 394-9037
Signed By Date
1/10/2014
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